Organization Active NPI

Minor W Gordon PH D PC

  • Community/Behavioral Health Agency
  • Tulsa, OK
National Provider Identifier
1740466200
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
309 Issued in OK
Legal business name
MINOR W GORDON PH D PC
Practice address
3223 E 31St St
Tulsa, OK 74105-2452
Phone
(918) 747-5308
NPI assigned
Jan 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Dr. Minor William Gordon, PH D
Title
President
Phone
(918) 747-5308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 309 OK Primary

Addresses

Primary practice location

3223 E 31St St
Tulsa, OK 74105-2452

Mailing address

3223 E 31St St
Tulsa, OK 74105-2452
Phone (918) 747-5308

National Provider Directory

National Provider Directory

Locations

3223 E 31st St
Tulsa, OK 74105
Phone (918) 250-7093

3223 E 31st St
Ste 109
Tulsa, OK 74105
Phone (918) 747-2813

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1740466200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 E 31ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741052452",
            "telephone_number": "918-747-5308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 E 31ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741052452",
            "telephone_number": "918-747-5308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINOR W GORDON PH D PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "MINOR",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-747-5308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.