Krista Gordon Md Pc in Lawton - Family Medicine
Krista Gordon Md Pc - NPI 1275748501
Krista Gordon Md Pc is a Family Medicine in Lawton, Oklahoma. Krista Gordon Md Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Krista Gordon Md Pc is 1275748501. The last update date is 2011-03-22.
Krista Gordon Md Pc's current location address is 5366 Nw Cache Rd, Lawton, Oklahoma. You can contact this provider via phone number 5805367546 and fax number 5805812051. The mailing address for Krista Gordon Md Pc is 5366 Nw Cache Rd, Lawton, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Krista Gordon Md Pc |
|---|---|
| Address | 5366 Nw Cache Rd, Lawton, Oklahoma |
| Phone Number | 5805367546 |
| Fax Number | 5805812051 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Gelvin Rhonda |
| Credentials | MD |
| Telephone Number | 5805367546 |
NPI Number Detail
| NPI Number | 1275748501 |
|---|---|
| Provider Enumeration Date | 2007-05-11 |
| Last Updated Date | 2011-03-22 |
Provider Mailing Address Detail
| Address | 5366 Nw Cache Rd |
|---|---|
| City | Lawton |
| State | Oklahoma (OK) |
| Post Code | 735053335 |
| Phone Number | 5805367546 |
| Fax Number | 5805812051 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 21237 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 900522624 | OK | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique identifier code issued to Krista Gordon Md Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Krista Gordon Md Pc has been assigned the NPI (National Provider Identifier) 1275748501. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Krista Gordon Md Pc is geographically located?
The Krista Gordon Md Pc is physically situated at the following location: 5366 Nw Cache Rd, Lawton, OK, 735053335.
What is Krista Gordon Md Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Krista Gordon Md Pc's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1275748501 to Krista Gordon Md Pc?
The Centers for Medicare & Medicaid Services originally issued the 1275748501 to Krista Gordon Md Pc on 2007-05-11.
As of what date were the details related to Krista Gordon Md Pc most recently updated or revised?
The information pertaining to Krista Gordon Md Pc, including its address, specialty, and other relevant details, was last updated or revised on 2011-03-22.