Individual provider Active NPI

Errol L. Gordon, M.D.

  • Neurocritical Care Physician
  • Tulsa, OK
National Provider Identifier
1194762377
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurocritical Care PhysicianTaxonomy code 2084A2900X
License
33134 Issued in OK
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
009873291MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OK, FL, WV, MS, MO, TN, IN8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20060828000409 NY Practitioner - Neurology 7416951892 Reassigns benefits to 1 organization
I20171011003248 OK Practitioner - Neurology 7416951892 Reassigns benefits to 1 organization
I20220420001059 FL Practitioner - Neurology 7416951892 Reassigns benefits to 1 organization
I20220428000068 WV Practitioner - Neurology 7416951892 Reassigns benefits to 1 organization
I20220906000069 MS Practitioner - Neurology 7416951892 Reassigns benefits to 1 organization
I20220921003313 MO Practitioner - Neurology 7416951892 Reassigns benefits to 1 organization
I20230131001202 TN Practitioner - Neurology 7416951892
I20230508002391 IN Practitioner - Neurology 7416951892 Reassigns benefits to 1 organization

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
St. John Physicians, Inc.Group PAC ID 2567366495, 262 clinicians

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

LicenseStateTypeSpecialty
ME159228FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Sep 18, 2017 Accepting new patients
Nuview Health Indiana PC CurrentSince May 1, 2023 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.