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ROBERT M. GORDON M.D. P.L.L.C. NPI 1265586325


NPI Information

NPI: 1265586325
Provider Name: ROBERT M. GORDON, M.D., P.L.L.C.
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
4200 W MEMORIAL RD
SUITE 805
OKLAHOMA CITY, OK
ZIP 73120
Phone: (405) 749-4248
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ROBERT M. GORDON, M.D., P.L.L.C. is a pulmonary disease internal medicine in Oklahoma City, OK. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. ROBERT M. GORDON, M.D., P.L.L.C. NPI is 1265586325. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4200 W MEMORIAL RD
SUITE 805
OKLAHOMA CITY, OK
ZIP 73120-350
Phone: (405) 749-4248
Fax: (405) 749-4238

The provider's authorized official is Nancy L. Machamer .
The authorized official title is Billing Manager and has the following contact phone number (405) 843-5855.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 10/27/2010.


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
1207RP1001XInternal MedicinePulmonary Disease16378OKLAHOMAYes

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
15791345OTHEROKLAHOMAAETNA
2447547003TMEDICARE ID-TYPE UNSPECIFIEDOKLAHOMA
3447547003003OTHEROKLAHOMABCBS
4100129830AMEDICAIDOKLAHOMA
5E11805MEDICARE UPINOKLAHOMA

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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