Gordon B. Strom,Jr. MD Facp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

F0027 Issued in TX

Legal business name

GORDON B. STROM,JR. MD FACP

Practice address

2850 Lewis LN
Ste. 111
Paris, TX 75460-9378

Phone

(903) 785-8480

Fax

(903) 785-8455

NPI assigned

Oct 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gordon B Strom Jr., MD

Title

MD

Phone

(903) 785-8480

Specialties & licenses 4

Addresses

Other identifiers 4

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terry Lynn Kilgore, M.D.

  • Pulmonary Disease Physician
  • Paris, TX
  • NPI 1972508570
  NPD (past)

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1649469933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 LEWIS LN",
            "address_2": "STE. 111",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609378",
            "telephone_number": "903-785-8480",
            "fax_number": "903-785-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 LEWIS LN",
            "address_2": "STE. 111",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609378",
            "telephone_number": "903-785-8480",
            "fax_number": "903-785-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON B. STROM,JR. MD FACP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "STROM",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "903-785-8480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "TX",
            "license": "F0027",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F0027",
            "primary": true
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "TX",
            "license": "F0027",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA030704",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CK8750",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100071470A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00TU80",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160367201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Golden Care Home Health, LLC
• Raven S Gomez, LVN
• Adriana Gonzalez McMillan
• Nikki Goodale, OTR, CLT
• Catherine Lee Goodwin, COTA
• Christopher Blake Gordon
• Jarrott Saxton Grace, M.D.
• Isabella Christine Graf, SLP-I
• Janae Ramy Graham, PTA
• Jordan Richey Grant, M.D.

• Internal Medicine Physician in Paris, TX
• Providers in Paris, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.