Clinical Oncology Associates
LBN: Craig J Gordon, D.O., P.C.
Clinical Oncology Associates is an health care organization with primary practice located at 30160 Orchard Lake Rd Ste 100 , Farmington Hills MI 48334-2254. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty.
Craig J Gordon, D.O., P.C. can be contacted via phone (248) 522-0222, or through Hudel, Sue via phone (248) 522-0222.
Contact Information
Primary practice address
30160 Orchard Lake Rd Ste 100
Farmington Hills MI 48334-2254
Phone: (248) 522-0222
Fax: (248) 522-0225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | SS065453 | Michigan |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | CG008584 | Michigan |
Profile Details
| NPI number | 1952392896 |
|---|---|
| LBN Legal business name | Craig J Gordon, D.O., P.C. |
| DBA Doing business as | Clinical Oncology Associates |
| Authorized official | Hudel, Sue |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Jun 4th, 2019 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952392896 | NPPES |
| Michigan | Other | OF37505 | BCBS |
| Michigan | Other | 5679150 | BCBS |
| Michigan | Other | P6078 | BCBS |
| Michigan | Other | P88665 | BCBS |
| Michigan | MEDICAID | 3404140 | BCBS |
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