Gordon Gregory Gidman in Lafayette - Specialist
Gordon Gregory Gidman - NPI 1437286085
Gordon Gregory Gidman is a Specialist in Lafayette, Louisiana. Gordon Gregory Gidman practices all healthcare services and medical treatments related to Specialist. The NPI Number for Gordon Gregory Gidman is 1437286085. The last update date is 2008-08-27.
Gordon Gregory Gidman's current location address is 106 Fernewood Dr, Lafayette, Louisiana. You can contact this provider via phone number 3379880642. The mailing address for Gordon Gregory Gidman is 106 Fernewood Dr, Lafayette, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gordon Gregory Gidman |
|---|---|
| Address | 106 Fernewood Dr, Lafayette, Louisiana |
| Phone Number | 3379880642 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1437286085 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2008-08-27 |
Provider Mailing Address Detail
| Address | 106 Fernewood Dr |
|---|---|
| City | Lafayette |
| State | Louisiana (LA) |
| Post Code | 705038425 |
| Phone Number | 3379880642 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 12306 |
|
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 |
|---|---|---|---|
| 5M407DC78 | LA | GROUP MEMBER PTAN | |
| 5DC78 | LA | NEW GROUP PTAN |
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What is the unique identifier code issued to Gordon Gregory Gidman by the Centers for Medicare & Medicaid Services?
The Gordon Gregory Gidman has been assigned the NPI (National Provider Identifier) 1437286085. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Gordon Gregory Gidman located?
The Gordon Gregory Gidman is located at 106 Fernewood Dr, Lafayette, LA 705038425.
What is the Gordon Gregory Gidman's area of specialization and corresponding taxonomy classification?
The Gordon Gregory Gidman's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
When was the Gordon Gregory Gidman's 1437286085 issued?
The Gordon Gregory Gidman's 1437286085 was issued on 2007-02-28.
As of what date were the details related to Gordon Gregory Gidman most recently updated or revised?
The information pertaining to Gordon Gregory Gidman, including its address, specialty, and other relevant details, was last updated or revised on 2008-08-27.
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