NPIMap

Individual provider Active NPI

Joshua Paul Gordon, D.O.

  • Anesthesiology Physician
  • Ardmore, OK
National Provider Identifier
1972037877
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
6410 Issued in OK
Practice address
2002 12TH Ave NW Ste B
Ardmore, OK 73401-1206
Phone
(580) 221-2022
NPI assigned
Apr 18, 2017
Last updated
Aug 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 6410 OK Primary
Anesthesiology Physician 207L00000X T0496 TX

Addresses

Primary practice location

2002 12TH Ave NW Ste B
Ardmore, OK 73401-1206

Mailing address

2002 12TH Ave NW Ste B
Ardmore, OK 73401-1206
Phone (580) 221-2022

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgordon209451@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220823002462 OK Practitioner - AnesthesiologyPractitioner - Pain Management 8022427624 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Oklahoma State University College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Duncan Regional Hospital, IncGroup PAC ID 5193613057, 69 clinicians
Genesis Medical PLLCGroup PAC ID 9739508698, 4 clinicians

Practice addresses (Care Compare)

1415 N Whisenant Dr
Duncan, OK 73533-1650
Phone (580) 252-5300

2002 12TH Ave NW
Suite B
Ardmore, OK 73401-1206
Phone (580) 221-2022

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
21.13 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
70.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
6410OKMDGeneral Practice Dentistry
T0496TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical PLLC CurrentSince Jul 25, 2022 Accepting new patients
Genesis Medical PLLC CurrentSince Jul 25, 2022 Accepting new patients
Duncan Regional Hospital, Inc CurrentSince Jun 8, 2025 Accepting new patients
Duncan Regional Hospital, Inc CurrentSince Jun 8, 2025 Accepting new patients
Summit Medical Center Past Accepting new patients
Duncan Regional Hospital, Inc. Past Accepting new patients

Locations

2002 12th Ave NW
Ste B
Ardmore, OK 73401
Phone (580) 221-2022

2230 Duncan Regional Loop
Duncan, OK 73533
Phone (580) 252-0100

2434 Harville Rd
Ste 200
Duncan, OK 73533
Phone (580) 252-1373

2434 Harville Rd
Ste 601
Duncan, OK 73533
Phone (580) 252-1373

Interoperability endpoints

  • Direct secure messaging: jgordon209451@direct.sw.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1972037877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 12TH AVE NW STE B",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011206",
            "telephone_number": "580-221-2022",
            "fax_number": "580-221-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 12TH AVE NW STE B",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011206",
            "telephone_number": "580-221-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JOSHUA",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-18",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "6410",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "T0496",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgordon209451@direct.sw.org",
            "affiliation": "N",
            "address_1": "2002 12th Ave NW Ste B",
            "city": "Ardmore",
            "state": "OK",
            "country_code": "US",
            "postal_code": "734011206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.