Physician Assistant, Surgical
IAN GORDON PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1770906539 · enumerated 2014-01-30 · record updated 2015-06-12. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 4120 W MEMORIAL RD, SUITE 300, OKLAHOMA CITY, OK, 73120-9320 (405) 748-3300 Fax (405) 749-1671 Google Maps Apple Maps OpenStreetMap
- Practice location 4120 W MEMORIAL RD, SUITE 300, OKLAHOMA CITY, OK, 73120-9320 (405) 748-3300 Fax (405) 749-1671 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License 2358 OK
- Physician Assistant, Medical 363AM0700X · License 2358 OK
- Physician Assistant, Surgical 363AS0400X · Primary · License 2358 OK
In this directory
OK Oklahoma County Oklahoma City Physician Assistant, Surgical
Locations and evidence
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Practice location
OKLAHOMA CITY, OK, 731209320
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.