Individual
GORDON N SHECKET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 GREENGLADE AVE, WORTHINGTON, OH 43085-2291
(614) 436-6436
Mailing address
501 GREENGLADE AVE, CORPATH-CRED, WORTHINGTON, OH 43085-2291
(614) 436-6436
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
35040207
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35040207
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0626960
—
OH
01
—
220023091
RR MEDICARE
OH
Enumeration date
08/12/2005
Last updated
08/29/2016
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