NPIMap

Organization Active NPI

Clinical Oncology Associates

Doing business as Craig J Gordon DO

  • Non-Pharmacy Dispensing Site
  • Farmington Hills, MI
National Provider Identifier
1336246263
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
5101008584 Issued in MI
Legal business name
CLINICAL ONCOLOGY ASSOCIATES
Doing business as
Craig J Gordon DO
Practice address
30160 Orchard Lake Rd
Ste 100
Farmington Hills, MI 48334-2293
Phone
(248) 538-1000
Fax
(248) 538-9000
NPI assigned
Sep 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Deborah McNeilance
Title
Practice Administrator
Phone
(248) 538-9186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X 5101008584 MI Primary

Addresses

Primary practice location

30160 Orchard Lake Rd
Ste 100
Farmington Hills, MI 48334-2293

Mailing address

30160 Orchard Lake Rd
Ste 100
Farmington Hills, MI 48334-2293

Other identifiers 2

IdentifierTypeStateIssuer
2368757OtherOTHER ID NUMBER-COMMERCIAL NUMBER
3404140MedicaidMI

Other names 1

  • CRAIG J GORDON DO Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336246263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30160 ORCHARD LAKE RD",
            "address_2": "STE 100",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30160 ORCHARD LAKE RD",
            "address_2": "STE 100",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342293",
            "telephone_number": "248-538-1000",
            "fax_number": "248-538-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL ONCOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCNEILANCE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "248-538-9186"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "MI",
            "license": "5101008584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2368757",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404140",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRAIG J GORDON DO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.