GLENN GORDON MD – NPI #1538108261
General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
GLENN GORDON is a physician located in SPRINGFIELD, OR. NPPES has assigned the NPI number 1538108261 to GLENN GORDON on June 06, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, 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 8 years ago on May 15, 2018. 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 GLENN GORDON below.
NPI Profile for
GLENN GORDON
(more than 20 years ago)
SPRINGFIELD, OR 97477 Phone: (541) 682-3550 Fax:
Identifiers for GLENN GORDON
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.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BCBS | 057221003 | |
| OTHER | CHAMPUS | A018 | |
| OTHER | GROUP HEALTH | C89984 | |
| OTHER | LIPA | C89984 | |
| OTHER | PACIFIC SOURCE | J0475-05 | |
| OTHER | PROVIDENCE | C89984 | |
| OTHER | WASHINGTON L&I | 76172 | |
| MEDICAID | CA | XPY185053 | |
| MEDICAID | OR | 057141 | |
| MEDICAID | WA | 8280034 |
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) |
OR | MD15934 |
| 207Q00000X - Family Medicine |
OR | MD15934 |
| 207P00000X - Emergency Medicine |
OR | MD15934 |
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.