Stephen M. Gordon. D.O., P.C in Kansas City - Specialist
Stephen M. Gordon. D.O., P.C - NPI 1548321201
Stephen M. Gordon. D.O., P.C is a Specialist in Kansas City, Missouri. Stephen M. Gordon. D.O., P.C practices all healthcare services and medical treatments related to Specialist. The NPI Number for Stephen M. Gordon. D.O., P.C is 1548321201. The last update date is 2020-08-22.
Stephen M. Gordon. D.O., P.C's current location address is 1004 Carondelet Dr, Kansas City, Missouri. You can contact this provider via phone number 8169423060 and fax number 8169423141. The mailing address for Stephen M. Gordon. D.O., P.C is 1004 Carondelet Dr, Kansas City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Stephen M. Gordon. D.O., P.C |
|---|---|
| Address | 1004 Carondelet Dr, Kansas City, Missouri |
| Phone Number | 8169423060 |
| Fax Number | 8169423141 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gordon M Stephen |
| Credentials | D.O. |
| Telephone Number | 8169423060 |
NPI Number Detail
| NPI Number | 1548321201 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1004 Carondelet Dr |
|---|---|
| City | Kansas City |
| State | Missouri (MO) |
| Post Code | 641144802 |
| Phone Number | 8169423060 |
| Fax Number | 8169423141 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | R9794 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14039022 | MO | BLUE CROSS BLUE SHIELD | |
| 10818069 | MO | BLUE CROSS BLUE SHIELD | |
| 33375001 | MO | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Stephen M. Gordon. D.O., P.C's 1548321201?
The Stephen M. Gordon. D.O., P.C's NPI (National Provider Identifier) Number is 1548321201. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Stephen M. Gordon. D.O., P.C's physical address?
The Stephen M. Gordon. D.O., P.C is physically located at 1004 Carondelet Dr, in the city of Kansas City, MO, with the postal code 641144802.
What is Stephen M. Gordon. D.O., P.C's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stephen M. Gordon. D.O., P.C's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1548321201 to Stephen M. Gordon. D.O., P.C?
The Stephen M. Gordon. D.O., P.C received its 1548321201 assignment from the Centers for Medicare & Medicaid Services on 2006-12-13.
As of what date was the information regarding Stephen M. Gordon. D.O., P.C, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Stephen M. Gordon. D.O., P.C, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.