Individual
GORDON ENNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
280 MAPLE ST, ASHLAND, OR 97520-1552
(541) 201-4000
(541) 488-7434
Mailing address
PO BOX 4749, MEDFORD, OR 97501-0227
(541) 789-5516
(541) 789-5538
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD10734
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023507000
BLUE CROSS BLUE SHIELD
OR
05
—
235101
—
OR
01
—
930079056
RAILROAD MEDICARE
—
01
—
97520A009
CHAMPUS
—
01
—
C91177
GROUP HEALTH
—
01
—
XPY185046
MEDI - CAL
—
Enumeration date
04/03/2006
Last updated
07/14/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us