Gordon P. Laird, D.O. Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GORDON P. LAIRD, D.O. INC

Practice address

534 Illinois St
Pawnee, OK 74058-2036

Phone

(918) 762-3602

Fax

(187) 622-9529

NPI assigned

Oct 9, 2013

Last updated

Sep 23, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gordon P Laird, D.O.NPI 1619954088

Title

Owner

Phone

(580) 363-0052

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Tax ID family

Gordon P Laird DO Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gordon P Laird,DO

  • Family Medicine Physician
  • Pawnee, OK
  • NPI 1942472311
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gordon P Laird, D.O.

  • Family Medicine Physician
  • Pawnee, OK
  • NPI 1619954088
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1083041966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 ILLINOIS ST",
            "city": "PAWNEE",
            "state": "OK",
            "postal_code": "740582036",
            "telephone_number": "918-762-3602",
            "fax_number": "918-762-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 ILLINOIS ST",
            "city": "PAWNEE",
            "state": "OK",
            "postal_code": "740582036",
            "telephone_number": "918-762-3602",
            "fax_number": "187-622-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON P. LAIRD, D.O. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "LAIRD",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-363-0052",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "1532",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200510340A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brady Gene Englestead, M.D.
• Gene H Evans, M.D.
• Christie Factor
• Gateway Addiction Center LLC
• Gordon P Laird,DO
• April Graham, AU.D.
• Jaime E Gumbs-Solano, MD
• Margaret Ann Hammond
• Stephanie Danyiel Harrell
• Raven Hawkins

• Family Medicine Physician in Pawnee, OK
• Providers in Pawnee, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.