Provider Demographics
NPI:1306816145
Name:CASH, GORDON HENRY (MD)
Entity Type:Individual
Prefix:DR
First Name:GORDON
Middle Name:HENRY
Last Name:CASH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 FRANKLIN ST SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4312
Mailing Address - Country:US
Mailing Address - Phone:256-539-4080
Mailing Address - Fax:256-539-4099
Practice Address - Street 1:930 FRANKLIN ST SE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4312
Practice Address - Country:US
Practice Address - Phone:256-539-4080
Practice Address - Fax:256-539-4099
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2009-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13254207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL111412Medicaid
TN0070461OtherBCBS
AL510-49703OtherBCBS
060037265OtherRAILROAD MEDICARE
AL111416Medicaid
AL111422Medicaid
AL51049227OtherBCBS
ALP00747500OtherRAILROAD MEDICARE
AL51049228OtherBCBS
AL51049229OtherBCBS
AL000031066Medicaid
AL111419Medicaid
25-10210OtherUNITED HEALTHCARE
AL51598410OtherBCBS
4044877OtherAETNA
AL515-98409OtherBCBS
AL111413Medicaid
AL111414Medicaid
AL51031066OtherBCBS
AL111414Medicaid
AL111413Medicaid
AL102I063954Medicare PIN
4044877OtherAETNA