GORDON FAULKNER MD NPI 1942307962

NPI Information

  • NPI: 1942307962
  • Provider Name: GORDON FAULKNER, MD
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • Address: 2002 E BLUE MOUNDS RD
    MOUNT HOREB, WI
    ZIP 53572
  • Phone: (608) 274-9717

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NPI Details

Gordon Faulkner, MD is a pediatrics in Mount Horeb, WI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Gordon Faulkner, MD NPI is 1942307962. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2002 E BLUE MOUNDS RD
MOUNT HOREB, WI
ZIP 53572-634
Phone: (608) 274-9717

The enumeration date for this NPI number is 9/20/2006 and was last updated on 3/23/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics22351WISCONSINYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
130501900MEDICAIDWISCONSIN
2002474225MEDICARE ID-TYPE UNSPECIFIEDWISCONSINWISCONSIN MC PROV NO.
3B52717MEDICARE UPINWISCONSIN

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: 11/21/2025

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