Jay M. Gordon, R. N.

Primary specialty

Infusion Therapy Registered NurseTaxonomy code 163WI0500X

License

R0070280 Issued in OK

Practice address

6666 S Sheridan Rd
Tulsa, OK 74133-1756

Phone

(918) 493-2727

Fax

(918) 493-2990

NPI assigned

Dec 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Home Options Medical Equipment Inc

  • Durable Medical Equipment & Medical Supplies
  • Tulsa, OK
  • NPI 1306976915
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699838490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 E OAKRIDGE ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740145008",
            "telephone_number": "918-258-8571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6666 S SHERIDAN RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331756",
            "telephone_number": "918-493-2727",
            "fax_number": "918-493-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JAY",
        "middle_name": "M.",
        "credential": "R. N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "OK",
            "license": "R0070280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alana Samantha Gorden
• Amy Lynn Gordon, PA
• Christopher Kyle Gordon, CRNP
• Errol L. Gordon, M.D.
• Gloria Nicole Gordon
• Kevin Gordon
• Maureen Ann Gordon
• Nicole Lynette Gordon
• Richard Allen Gordon, MD
• Ryann Gordon

• Infusion Therapy Registered Nurse in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Infusion Therapy Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.