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CLINICAL ONCOLOGY ASSOCIATES NPI 1336246263


NPI Information

NPI: 1336246263
Provider Name: CLINICAL ONCOLOGY ASSOCIATES

Doing Business As: CRAIG J GORDON DO

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
30160 ORCHARD LAKE RD
STE 100
FARMINGTON HILLS, MI
ZIP 48334
Phone: (248) 538-1000
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CLINICAL ONCOLOGY ASSOCIATES is a non pharmacy dispensing site in Farmington Hills, MI. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) CLINICAL ONCOLOGY ASSOCIATES NPI is 1336246263. The provider is registered as an organization entity type.
The provider Is Doing Business As Craig J Gordon Do.

The provider's business location address is:

30160 ORCHARD LAKE RD
STE 100
FARMINGTON HILLS, MI
ZIP 48334-293
Phone: (248) 538-1000
Fax: (248) 538-9000

The provider's authorized official is Deborah Mcneilance .
The authorized official title is Practice Administrator and has the following contact phone number (248) 538-9186.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing Site5101008584MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13404140MEDICAIDMICHIGAN
22368757OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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