Gordon Gregory Gidman, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

012306 Issued in LA

Practice address

204 Energy Pkwy
Suite B
Lafayette, LA 70508-3816

Phone

(337) 269-0136

Fax

(337) 233-8525

NPI assigned

Feb 28, 2007

Last updated

Aug 27, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

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 1

Specialty

Orthopedic Surgery

Education

Louisiana State University School of Medicine in New Orleans, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Acadiana Center, LLCGroup PAC ID 6800017518, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Acadiana Center LLC

  • Urgent Care Clinic/Center
  • Lafayette, LA
  • NPI 1386066769
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1437286085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 FERNEWOOD DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705038425",
            "telephone_number": "337-988-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 ENERGY PKWY",
            "address_2": "SUITE B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083816",
            "telephone_number": "337-269-0136",
            "fax_number": "337-233-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIDMAN",
        "first_name": "GORDON",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "012306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW GROUP PTAN",
            "identifier": "5DC78",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEMBER PTAN",
            "identifier": "5M407DC78",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren D Gibson, DPM
• Nicole Gibson, B.S.
• Quartivia Gibson
• Sara Gibson
• Guy Rees Gideon, CAC
• Shanika Gilbert
• Shanne Gilbert, RPT,RMA
• Leanne Catherine Gilder, OD
• Christine Gill, LPC
• Joseph T Gillespie, M.D.

• Specialist in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.

Verify at the official NPI Registry.