Gordon Keith Alcox, MD
Individual provider Active NPI Surgery Physician · Marshall, TX
NPI 1194816751 · NPPES record last updated May 9, 2008
Key facts
- NPI
- 1194816751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- J7405 (TX)
- Practice address
- 304 University Ave Suite 201
Marshall, TX 75670-5247 - Phone
- (903) 935-7708
- Fax
- (903) 935-6248
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- University of Oklahoma College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
304 University Ave
Marshall, TX 75670-5247
Phone (903) 935-7708
Hospital & facility affiliations
- Christus Good Shepherd Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 36 |
| Hernia repair - groin (open) | 11 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081106000779 | TX | Practitioner - General Surgery | 1951460856 | Practice locations: Marshall, TX |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J7405 | TX | MD | Surgery Physician |
Interoperability endpoints
- galcox236923@christushealth.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | J7405 | TX | Yes |
Addresses
Primary practice location
304 University Ave Suite 201
Marshall, TX 75670-5247
Mailing address
304 University Ave Suite 201
Marshall, TX 75670-5247
Phone (903) 935-7708
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035557001 | Medicaid | TX | |
| 020026756 | Other | TX | MEDICARE RAILROAD RETIRE |
Other providers in Marshall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.