Mark Ernest Gordon in Kansas City - Internal Medicine

Mark Ernest Gordon - NPI 1083686257

Mark Ernest Gordon is a Internal Medicine in Kansas City, Missouri. Mark Ernest Gordon practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mark Ernest Gordon is 1083686257. The last update date is 2014-12-17.

Mark Ernest Gordon's current location address is 9411 N Oak Trfy, Kansas City, Missouri. You can contact this provider via phone number 8164367072 and fax number 8164362743. The mailing address for Mark Ernest Gordon is 9411 N Oak Trfy, Kansas City, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Ernest Gordon
Address 9411 N Oak Trfy, Kansas City, Missouri
Phone Number 8164367072
Fax Number 8164362743
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1083686257
Provider Enumeration Date 2006-02-02
Last Updated Date 2014-12-17

Provider Mailing Address Detail

Address 9411 N Oak Trfy
City Kansas City
State Missouri (MO)
Post Code 641552262
Phone Number 8164367072
Fax Number 8164362743

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No R1D12
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10000045 BCBS OF KC INDIVIDUAL
201851839 MO --
110086289 RAILROAD MEDICARE

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FAQs about Mark Ernest Gordon

What is the unique provider identifier assigned to Mark Ernest Gordon?

The Mark Ernest Gordon has been issued the NPI (National Provider Identifier) 1083686257 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Mark Ernest Gordon is physically located?

The Mark Ernest Gordon is situated at the following address: 9411 N Oak Trfy, Kansas City, MO 641552262.

What is Mark Ernest Gordon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Mark Ernest Gordon is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1083686257 to Mark Ernest Gordon?

The Centers for Medicare & Medicaid Services originally issued the 1083686257 to Mark Ernest Gordon on 2006-02-02.

As of what date were the details pertaining to Mark Ernest Gordon last refreshed?

The information related to the Mark Ernest Gordon, including its address, specialty, and other relevant details, was last updated on 2014-12-17.

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