Gordon Carl Shipp in Little Rock - Otolaryngology

Gordon Carl Shipp - NPI 1689730459

Gordon Carl Shipp is a Otolaryngology in Little Rock, Arkansas. Gordon Carl Shipp practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Gordon Carl Shipp is 1689730459. The last update date is 2008-07-17.

Gordon Carl Shipp's current location address is 4301 W Markham St # 543, Little Rock, Arkansas. You can contact this provider via phone number 5016868000. The mailing address for Gordon Carl Shipp is 4301 W Markham St # 543, Little Rock, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Gordon Carl Shipp
Address 4301 W Markham St # 543, Little Rock, Arkansas
Phone Number 5016868000
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1689730459
Provider Enumeration Date 2006-12-28
Last Updated Date 2008-07-17

Provider Mailing Address Detail

Address 4301 W Markham St # 543
City Little Rock
State Arkansas (AR)
Post Code 722057101
Phone Number 5016868000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Otolaryngology
Taxonomy 207Y00000X
Licence No R-2531
Definition:
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
107655001 AR --
328824 GA WELLCARE
883134750A GA --
14676000000 AR QUAL CHOICE

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FAQs about Gordon Carl Shipp

What is the unique identifier code issued to Gordon Carl Shipp by the Centers for Medicare & Medicaid Services (CMS)?

The Gordon Carl Shipp has been assigned the NPI (National Provider Identifier) 1689730459. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Gordon Carl Shipp located?

The Gordon Carl Shipp is located at 4301 W Markham St # 543, Little Rock, AR 722057101.

What is Gordon Carl Shipp's area of expertise and its corresponding taxonomy classification?

The Gordon Carl Shipp's field of specialization is Otolaryngology, and it falls under the taxonomy code 207Y00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Gordon Carl Shipp receive its 1689730459 assignment from the Centers for Medicare & Medicaid Services?

The Gordon Carl Shipp was assigned its 1689730459 by the Centers for Medicare & Medicaid Services on 2006-12-28.

When was the information related to Gordon Carl Shipp most recently updated or refreshed?

The details pertaining to the Gordon Carl Shipp, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-07-17.

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