Derek Michael Gordon in Pascagoula - Emergency Medicine
Derek Michael Gordon - NPI 1265400485
Derek Michael Gordon is a Emergency Medicine in Pascagoula, Mississippi. Derek Michael Gordon practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Derek Michael Gordon is 1265400485. The last update date is 2013-12-02.
Derek Michael Gordon's current location address is 2809 Denny Ave, Pascagoula, Mississippi. You can contact this provider via phone number 2288095000. The mailing address for Derek Michael Gordon is 2809 Denny Ave, Pascagoula, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derek Michael Gordon |
|---|---|
| Address | 2809 Denny Ave, Pascagoula, Mississippi |
| Phone Number | 2288095000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1265400485 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2013-12-02 |
Provider Mailing Address Detail
| Address | 2809 Denny Ave |
|---|---|
| City | Pascagoula |
| State | Mississippi (MS) |
| Post Code | 395815301 |
| Phone Number | 2288095000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 25109 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1U20883 | LA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Derek Michael Gordon by the Centers for Medicare & Medicaid Services?
The Derek Michael Gordon has been issued the NPI (National Provider Identifier) 1265400485. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Derek Michael Gordon is located?
The Derek Michael Gordon is situated at the following address: 2809 Denny Ave, Pascagoula, MS, 395815301.
What is Derek Michael Gordon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Derek Michael Gordon's specialized field of practice is Emergency Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207P00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1265400485 to Derek Michael Gordon?
The Centers for Medicare & Medicaid Services originally issued the 1265400485 to Derek Michael Gordon on 2006-03-14.
When was the information regarding Derek Michael Gordon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Derek Michael Gordon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-12-02.