Gordon P Laird, D.O.
Individual provider Active NPI Family Medicine Physician · Pawnee, OK
NPI 1619954088 · NPPES record last updated Sep 26, 2024
Key facts
- NPI
- 1619954088
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 1532 (OK)
- Practice address
- 534 Illinois St
Pawnee, OK 74058-2036 - Phone
- (918) 762-3602
- Fax
- (918) 762-2952
- NPI assigned
- Dec 28, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
534 Illinois St
Pawnee, OK 74058-2036
Phone (918) 762-3663
Hospital & facility affiliations
- Elara Caring Xviii
- Cleveland Area Hospital
- Integris Health Ponca City
- Stillwater Medical Center
- Hillcrest Hospital Cushing
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- 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 |
|---|---|---|---|---|
| I20050301000114 | OK | Practitioner - Family Practice |
0749233963 |
Reassigns benefits to 1 organization Practice locations: Pawnee, OK |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1532 | OK | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gordon P. Laird, D.O. Inc | Family Medicine | Current |
Accepting new patients |
| Gordon P Laird,DO | Family Medicine | Current | Accepting new patients |
| Heel to Toe Foot Care Plus Inc | Past | Accepting new patients | |
| Blackwell Feet Plus, L.L.C. | Past |
Accepting new patients | |
| Footcare & More LLC | Past | Accepting new patients | |
| Feet Plus Solutions Inc | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Pawnee Municipal Hospital Authority | Past | Accepting new patients |
Locations
534 Illinois St
Pawnee, OK 74058
Phone (918) 762-2573
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 1532 | OK | |
| Surgery Physician | 208600000X | 1532 | OK | |
| Family Medicine Physician | 207Q00000X | 1532 | OK | Yes |
Addresses
Primary practice location
534 Illinois St
Pawnee, OK 74058-2036
Mailing address
534 Illinois St
Pawnee, OK 74058-2036
Phone (918) 762-3602
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100128350I | Medicaid | OK |
Other providers in Pawnee, OK
- Eva L Jones
- Henry John Kaehler Jr.
- Michelle Dawn Kimmel
- Becky Knight
- Gayle Ann Kostyack
- Jeanette Littlesun
- Jasha Lyons Echo-Hawk
- Lisa Mays
- Crystal Dawn McCarty
- Aaron R. Means Sr.
All providers in Pawnee, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2024. 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.