MARYELLEN GORDIAN MD – NPI #1194704619
General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
MARYELLEN GORDIAN is a physician located in FORT RICHARDSON, AK. NPPES has assigned the NPI number 1194704619 to MARYELLEN GORDIAN on January 12, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.
The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARYELLEN GORDIAN below.
NPI Profile for
MARYELLEN GORDIAN
(more than 20 years ago)
FORT RICHARDSON, AK 99505 Phone: (907) 384-6017 Fax:
ANCHORAGE, AK 99524-1769 Phone: (907) 770-2380 Fax: (907) 770-2390
Identifiers for MARYELLEN GORDIAN
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | AK | MD27581 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 208D00000X - General Practice (Primary) |
AK | 2758 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.