Active NPI
Errol L. Gordon, M.D.
- Neurocritical Care Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurocritical Care Physician
- License
- 33134
- Practice address
- 2000 S Wheeling Ave
Tulsa, OK 74104-5649 - Phone
- (918) 748-7810
- Fax
- (918) 403-6437
- NPI assigned
- May 31, 2006
- Last updated
- May 15, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ME159228 | FL | |
| Neurocritical Care Physician | 2084A2900X | 33134 | OK | Primary |
Addresses
Primary practice location
2000 S Wheeling Ave
Tulsa, OK 74104-5649
Mailing address
1923 S Utica Ave # Dt1000
Tulsa, OK 74104-6520
Phone (918) 403-7054
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009873291 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, OK, FL, WV, MS, MO, TN, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- State University of New York Downstate Medical Center, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 W Boise Circle
Emergency Room
Broken Arrow, OK 74012-4900
Phone (918) 994-8000
1705 E 19TH St
Tulsa, OK 74104-5410
1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2071
2000 S Wheeling Ave
Suite 900
Tulsa, OK 74104-5647
Phone (918) 748-7598
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME159228 | FL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc | Current | Accepting new patients | |
| Nuview Health Indiana PC | Current | Accepting new patients | |
| St. John Physicians, Inc. | Neurology | Current | Accepting new patients |
| St John Medical Center Inc | Past | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Neurology | Past | Accepting new patients |
| Mount Sinai School of Medicine | Past | Accepting new patients |
Locations
1825 NW Corporate Blvd
Ste 105
Boca Raton, FL 33431
Phone 5612993667205
1331 State St
Laporte, IN 46350
Phone (219) 326-2415
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660
1923 S Utica Ave
#1000
Tulsa, OK 74104
2000 S Wheeling Ave
Ste 701
Tulsa, OK 74104
Phone (918) 744-7887
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Care Medicine (Internal Medicine) Physician
- Boca Raton, FL
- NPI 1215496336
IN
-
dba Neurosurgery Department of Mount Sinai
- Neurological Surgery Physician
- New York, NY
- NPI 1497029581
-
dba Siggins Memorial Clinic
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
dba Department of Neurology
- Neurology Physician
- New York, NY
- NPI 1306899455
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Oklahoma State University Medical Center
- General Acute Care Hospital
- Tulsa, OK
- NPI 1578704938
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1194762377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1923 S UTICA AVE # DT1000",
"city": "TULSA",
"state": "OK",
"postal_code": "741046520",
"telephone_number": "918-403-7054",
"fax_number": "918-744-2946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 S WHEELING AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741045649",
"telephone_number": "918-748-7810",
"fax_number": "918-403-6437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "ERROL",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME159228",
"primary": false
},
{
"code": "2084A2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": "OK",
"license": "33134",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009873291",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.