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
Fax: (405) 749-4238
Website:
Authorized official contact:
Name: Machamer, Nancy L.

Health care specialties

SpecialtyCodeLicense #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 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265586325 NPPES
Oklahoma Other 5791345 AETNA
Oklahoma MEDICAID 100129830A AETNA
Oklahoma Other 447547003003 AETNA

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