National Provider Identifier Database

GARY G GORDON, DO – NPI #1124010640
Geriatric Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.


Contact Information

GARY G GORDON, DO
1800 12TH ST
MERIDIAN, MS39301-4158
Phone: 601-703-9265
Fax: 601-703-9401
Website:
Specialty Taxonomy Code
* Geriatric Medicine 207QG0300X

* Indicates primary specialty

NPI Profile & details for GARY G GORDON

NPI Number 1124010640
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/19/2005
Last updated 11/06/2013 - About 13 years ago
Sole proprietor1 No
Identifiers
  • MS License #: 07448
  • MS Medicaid: 04458061
  • Other: 080030813 RAILROAD MEDICARE
  • AL Other: 73003105 BLUE CROSS OF AL
  • AL Other: 000039981 MEDICAID OF AL
  • MS Other: 0130017 UNITED HEALTH CARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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