Active NPI
Irina A Gordey, MD
- Specialist
- Alexandria, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD15004R
- Practice address
- 211 4TH Street
Alexandria, LA 71301 - Phone
- (318) 769-5283
- Fax
- (318) 336-6064
- NPI assigned
- Jun 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD15004R | LA | Primary |
Addresses
Primary practice location
211 4TH Street
Alexandria, LA 71301
Mailing address
211 4TH Street
Box 30162
Alexandria, LA 71301
Phone (318) 769-5283
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1160644 | Medicaid | LA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD15004R | LA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of Texas, PA | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Texas, PLLC | Current | Accepting new patients | |
| Ess Region II LLC | Past | Accepting new patients | |
| Pinecrest Developmental Center | Past | Accepting new patients | |
| Hynson Bayou Inpatient Services LLC | Past | Accepting new patients | |
| Hospitalist Medicine Physicians of Rapides Parish, LLC | Past | Accepting new patients |
Locations
3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917
4200 Nelson Rd
Lake Charles, LA 70605
Phone (318) 474-6370
524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138
Interoperability endpoints
- igordey405741@christushealth.direct-ci.net
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
LA
-
- Internal Medicine Physician
- Alexandria, LA
- NPI 1275573628
-
- Hospitalist Physician
- Alexandria, LA
- NPI 1215204748
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Pineville, LA
- NPI 1366564163
-
- Hospitalist Physician
- Glen Rose, TX
- NPI 1720262389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314316800000",
"number": "1609815646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 4TH STREET",
"address_2": "BOX 30162",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "71301",
"telephone_number": "318-769-5283",
"fax_number": "318-336-6064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 4TH STREET",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "71301",
"telephone_number": "318-769-5283",
"fax_number": "318-336-6064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDEY",
"first_name": "IRINA",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-05",
"last_updated": "2011-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "MD15004R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1160644",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.