Individual provider Active NPI

Gordon L Emry, M.D.

  • Family Medicine Physician
  • Norfolk, NE
National Provider Identifier
1235155607
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
NE17175 Issued in NE
Practice address
2024 W Pasewalk Ave
Norfolk, NE 68701-4629
Phone
(402) 844-3830
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NE17175 NE Primary

Addresses

Primary practice location

2024 W Pasewalk Ave
Norfolk, NE 68701-4629

Mailing address

1604 Troon St
Norfolk, NE 68701-3377
Phone (402) 347-1441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NE17175NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care of Omaha Maple LLC Past Accepting new patients
Cozad Community Hospital Family Medicine Past Accepting new patients
Nuwest Medical Clinic, L.L.C Family Medicine PastSince Jul 24, 2022 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15917/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1235155607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 TROON ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013377",
            "telephone_number": "402-347-1441",
            "fax_number": "402-347-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 W PASEWALK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014629",
            "telephone_number": "402-844-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMRY",
        "first_name": "GORDON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2023-10-18",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "NE17175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.