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DR. GORDON L MORTENSEN M.D. NPI 1407830862


NPI Information

NPI: 1407830862
Provider Name: DR. GORDON L MORTENSEN, M.D.
Classification: Anesthesiology - 207LP2900X
Entity Type: Individual

Specialization: Pain Medicine

PECOS Registration: Yes

Address:
2900 W OKLAHOMA AVE
MILWAUKEE, WI
ZIP 53215
Phone: (414) 649-6000
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DR. Gordon L Mortensen, M.D. is a pain medicine anesthesiology in Milwaukee, WI with 43 years of experience. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. DR. Gordon L Mortensen, M.D. NPI is 1407830862. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1981

The provider's business location address is:

2900 W OKLAHOMA AVE
MILWAUKEE, WI
ZIP 53215-330
Phone: (414) 649-6000

The NPI 1407830862 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection of substance into spinal canal of lower back or sacrum using imaging guidance (HCPCS:62323)
  • Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance (HCPCS:64483)
  • Injection procedure into sacroiliac joint for anesthetic or steroid (HCPCS:27096)
  • Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64493)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64494)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance (HCPCS:64635)

The enumeration date for this NPI number is 11/30/2005 and was last updated on 11/24/2017.


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
1207L00000XAnesthesiology26157-020WISCONSINNo
2207LP2900XAnesthesiologyPain Medicine26157-020WISCONSINYes

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
10015-73550MEDICARE ID-TYPE UNSPECIFIEDWISCONSINPROVIDER NUMBER
20029-73510MEDICARE ID-TYPE UNSPECIFIEDWISCONSINPROVIDER NUMBER
3E30812MEDICARE UPINWISCONSIN
40008-01185MEDICARE ID-TYPE UNSPECIFIEDWISCONSINPROVIDER NUMBER
530723700MEDICAIDWISCONSIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.