Robert M. Gordon, M.D., P.L.L.C.
LBN: Robert M. Gordon, M.D., P.L.L.C.
Robert M. Gordon, M.D., P.L.L.C. is an health care organization with primary practice located at 4200 W Memorial Rd Suite 805, Oklahoma City OK 73120-9350. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as the primary health care specialty.
Robert M. Gordon, M.D., P.L.L.C. can be contacted via phone (405) 749-4248, or through Machamer, Nancy L. via phone (405) 843-5855.
Contact Information
Primary practice address
4200 W Memorial Rd Suite 805
Oklahoma City OK 73120-9350
Phone: (405) 749-4248
Fax: (405) 749-4238
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 16378 | Oklahoma |
Profile Details
| NPI number | 1265586325 |
|---|---|
| LBN Legal business name | Robert M. Gordon, M.D., P.L.L.C. |
| DBA Doing business as | |
| Authorized official | Machamer, Nancy L. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Oct 27th, 2010 - about 16 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 | 1265586325 | NPPES |
| Oklahoma | Other | 5791345 | AETNA |
| Oklahoma | MEDICAID | 100129830A | AETNA |
| Oklahoma | Other | 447547003003 | AETNA |
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