Dr Joshua Paul Gordon, DO | |
2002 12th Ave Nw Ste B, Ardmore, OK 73401-1206 | |
(580) 221-2022 | |
Not Available |
Full Name | Dr Joshua Paul Gordon |
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Gender | Male |
Speciality | Anesthesiology |
Location | 2002 12th Ave Nw Ste B, Ardmore, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972037877 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 6410 (Oklahoma) | Primary |
207L00000X | Anesthesiology | T0496 (Texas) | Secondary |
Entity Name | Solutions Practice Management |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104009299 PECOS PAC ID: 5698840775 Enrollment ID: O20081015000361 |
Entity Name | Genesis Medical Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578174074 PECOS PAC ID: 9739508698 Enrollment ID: O20200928001333 |
Mailing Address | Practice Location Address |
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Dr Joshua Paul Gordon, DO 2002 12th Ave Nw Ste B, Ardmore, OK 73401-1206 Ph: (580) 221-2022 | Dr Joshua Paul Gordon, DO 2002 12th Ave Nw Ste B, Ardmore, OK 73401-1206 Ph: (580) 221-2022 |
Adam Michael Savage, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 731 12th Ave Nw, Suite 302, Ardmore, OK 73401 Phone: 580-220-6200 Fax: 580-220-6258 | |
Bryan Eliot Shapiro, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2002 12th Ave Nw, Suite C, Ardmore, OK 73401 Phone: 405-272-9644 | |
Michael Mccarty, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2002 12th Ave Nw, Suite C, Ardmore, OK 73401 Phone: 405-272-0361 | |
John Wilkes, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2002 12th Ave Nw, Suite C, Ardmore, OK 73401 Phone: 580-226-1251 | |
Dr. William M Lytkowski, D.O. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1103 Walnut Dr, Ardmore, OK 73401 Phone: 580-504-3999 | |
Norma Hutson, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2002 12th Ave Nw, Suite C, Ardmore, OK 73401 Phone: 580-226-1251 | |
Mr. Paul D Roesler, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401 Phone: 918-558-1920 |