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CRAIG J GORDON D.O. P.C. NPI 1952392896


NPI Information

NPI: 1952392896
Provider Name: CRAIG J GORDON, D.O., P.C.

Doing Business As: CLINICAL ONCOLOGY ASSOCIATES

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 23D0714409

Address:
30160 ORCHARD LAKE RD STE 100
FARMINGTON HILLS, MI
ZIP 48334
Phone: (248) 522-0222
Get Directions

CRAIG J GORDON, D.O., P.C. is a hematology and oncology internal medicine in Farmington Hills, MI. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. CRAIG J GORDON, D.O., P.C. NPI is 1952392896. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Clinical Oncology Associates.

The provider's business location address is:

30160 ORCHARD LAKE RD STE 100
FARMINGTON HILLS, MI
ZIP 48334-254
Phone: (248) 522-0222
Fax: (248) 522-0225

The provider's authorized official is Sue Hudel .
The authorized official title is Practice Manager and has the following contact phone number (248) 522-0222.

The CLIA number assigned to this NPI record is 23D0714409 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/31/2005 and was last updated on 6/4/2019.


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
1207RH0003XInternal MedicineHematology & OncologyCG008584MICHIGANNo
2207RH0003XInternal MedicineHematology & OncologySS065453MICHIGANYes

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
2OF37505OTHERMICHIGANBCBS
3P6078OTHERMICHIGANBCN
4P88665OTHERMICHIGANBCN
55679150OTHERMICHIGANAETNA

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: 4/28/2024

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