O T Gordon is a Gastroenterology in Pine Bluff, Arkansas. O T Gordon practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for O T Gordon is 1457314288. The last update date is 2010-03-29.
O T Gordon's current location address is 1609 W 40th Ave, Pine Bluff, Arkansas. You can contact this provider via phone number 8705343344 and fax number 8705343517. The mailing address for O T Gordon is 1609 W 40th Ave, Pine Bluff, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | O T Gordon |
|---|---|
| Address | 1609 W 40th Ave, Pine Bluff, Arkansas |
| Phone Number | 8705343344 |
| Fax Number | 8705343517 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1457314288 |
|---|---|
| Provider Enumeration Date | 2006-04-11 |
| Last Updated Date | 2010-03-29 |
Provider Mailing Address Detail
| Address | 1609 W 40th Ave |
|---|---|
| City | Pine Bluff |
| State | Arkansas (AR) |
| Post Code | 716036329 |
| Phone Number | 8705343344 |
| Fax Number | 8705343517 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | C5353 |
|
Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 152438001 | AR | -- | |
| 4198220 | AR | AETNA | |
| 2900041 | AR | UNITED HEALTH CARE | |
| P00092540 | AR | RAIL ROAD MEDICARE | |
| 5M782 | AR | BLUE CROSS BLUE SHIELD | |
| 3120019200 | AR | QUALCHOICE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to O T Gordon by the Centers for Medicare & Medicaid Services?
The O T Gordon has been issued the NPI (National Provider Identifier) 1457314288 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the O T Gordon located?
The O T Gordon is located at 1609 W 40Th Ave, Pine Bluff, AR 716036329.
What is the O T Gordon's specialty and taxonomy code?
The O T Gordon's specialty is Gastroenterology, and the corresponding taxonomy code is 207Rg0100X.
On what date did the O T Gordon receive the assignment of its 1457314288 from the Centers for Medicare & Medicaid Services?
The O T Gordon was issued its 1457314288 by the Centers for Medicare & Medicaid Services on 2006-04-11.
As of what date were the details pertaining to O T Gordon last refreshed?
The information related to the O T Gordon, including its address, specialty, and other relevant details, was last updated on 2010-03-29.
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