Stacy Gordon, M.D.
NPI 1821106758 · Pediatric Emergency Medicine (Pediatrics) Physician · Philadelphia, PA
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stacy Gordon, M.D. is a Pediatric Emergency Medicine (Pediatrics) Physician provider in Philadelphia, PA (NPI 1821106758).
Provider details
- NPI number
- 1821106758
- Entity type
- Individual
- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MD071070L (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-29
- Last updated
- 2014-04-03
Frequently asked questions
- What is Stacy Gordon's NPI number?
- Stacy Gordon's National Provider Identifier (NPI) is 1821106758, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacy Gordon's specialty?
- Stacy Gordon is listed in the NPPES registry with a primary specialty of Pediatric Emergency Medicine (Pediatrics) Physician (Allopathic & Osteopathic Physicians).
- Where is Stacy Gordon located?
- Stacy Gordon's practice location on file with NPPES is 3401 Civic Center Blvd, Philadelphia, PA 19104-4319.
- What is Stacy Gordon's phone number?
- The practice phone number listed in the NPPES registry for Stacy Gordon is (215) 590-1944.
- Does Stacy Gordon accept Medicare?
- Stacy Gordon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stacy Gordon's NPI active?
- Yes — Stacy Gordon's NPI (1821106758) is active in the NPPES registry as of the last update on 2014-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.