Ely R Gordon (NPI# 1215992029, PAC ID# 7517869282) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1215992029 |
| PAC ID by PECOS | 7517869282 |
| Professional Enrollment ID | I20180123002003 |
| Full Name | Ely R Gordon |
| Organization Legal Name | TEXOMACARE |
| Address |
500 Brookside Dr Madill OK 73446-0847 |
| Phone Number | 5807955506 |
| Gender | M |
| Credential | DO |
| Medical School | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH |
| Graduation Year | 1994 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3678555307 |
| Number of Group Practice Members | 54 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 371326 | INTEGRIS MARSHALL COUNTY MEDICAL CENTER |
| 450324 | TEXOMA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 500 Brookside Dr, Madill, OK 73446-0847 | 5807955506 | TEXOMACARE |
| Organization Legal Name | TEXOMACARE |
| Physicians | 55 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nhat Q Nguyen | Gastroenterology | Texomacare | 4616 Us Hwy 75, Suite 203, Denison, TX 75020-4582 |
| Diego F. Restrepo | Family Medicine | Texomacare | 3126 W Fm, Suite 120, Denison, TX 75020-1249 |
| Monica Woodall | Family Medicine | Texomacare | 1807 W University Blvd, Durant, OK 74701-3011 |
| Cathryn E Fuqua | Nurse Practitioner | Texomacare | 954 W Van Alstyne Pkwy, Van Alstyne, TX 75495-0488 |
| Thomas Earl Boothe | Obstetrics/gynecology | Texomacare | 2907 Overland Trl, Suite 200, Sherman, TX 75092-4498 |
| Venus J. Nabors | Obstetrics/gynecology | Texomacare | 5012 S Us Hwy 75, Denison, TX 75020-4587 |
| Dana Lee Sisk | Family Medicine | Texomacare | 2201 N State Hwy 121, Bonham, TX 75418-2345 |
| Christopher Lee Jones | Family Medicine | Texomacare | 308 Charlie St, Whitesboro, TX 76273-1103 |
| John Bennett Sissney | Family Medicine | Texomacare | 5012 S Us Hwy 75, Denison, TX 75020-4587 |
| Todd Dean Cutler | Obstetrics/gynecology | Texomacare | 5012 S Us Hwy 75, Suite 105, Denison, TX 75020-4611 |
| Street Address |
500 BROOKSIDE DR |
| City | MADILL |
| State | OK |
| Zip | 73446-0847 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi Lynne Haislip | Family Medicine | Texomacare | 500 Brookside Dr, Madill, OK 73446-0847 |
| Jeffrey F Hamblin | Physician Assistant | Texomacare | 500 Brookside Dr, Madill, OK 73446-0847 |
| Shannon Beth Goodwin Chambers | Family Medicine | Texomacare | 500 Brookside Dr, Madill, OK 73446-0847 |
| Roy K Rogers | Physician Assistant | Texomacare | 500 Brookside Dr, Madill, OK 73446-0847 |
| Ralph Tillman Falconer | Physician Assistant | Texomacare | 500 Brookside Dr, Madill, OK 73446-0847 |
| Jason S Squires | Physician Assistant | Texomacare | 500 Brookside Dr, Madill, OK 73446-0847 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Glen Cranford | Emergency Medicine | Oklahoma Emergency Physician Partners Pllc | 1 Hospital Dr, Integris Marshall County Medical Center, Madill, OK 73446-0604 |
| Steven D Hinshaw | Family Medicine | Oklahoma Emergency Physician Partners Pllc | 1 Hospital Dr, Integris Marshall County Medical Center, Madill, OK 73446-0604 |
| William Reid | Emergency Medicine | Oklahoma Emergency Physician Partners Pllc | 1 Hospital Dr, Integris Marshall County Medical Center, Madill, OK 73446-0604 |
| James William Talley Jr. | Chiropractic | 411 N 1st St, Madill, OK 73446-1404 | |
| Derek L Collins | Chiropractic | Collins Chiropractic Clinic | 802 N 1st St, Madill, OK 73446-1489 |
| Vicki S Collins | Chiropractic | Collins Chiropractic Clinic | 802 N 1st St, Madill, OK 73446-1489 |
| Jonathan W Spiva | Chiropractic | 802 N 1st St, Madill, OK 73446-1489 | |
| Harold M Wright | Optometry | 106 S 2nd Ave, Madill, OK 73446-3256 | |
| Royce G Martens | Family Medicine | 207 E Taliaferro St, Madill, OK 73446-3410 | |
| Alisha R Murrow | Emergency Medicine | Oklahoma Emergency Physician Partners Pllc | 901 S 5th Ave, Madill, OK 73446-3640 |
| Find all physicians in zip 73446 | |||
| City | MADILL |
| Zip Code | 73446 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MADILL + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.