Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gordon Butzirus, PA-C

Individual provider Physician Assistant · NPI 1366451890

Gordon Butzirus, PA-C is a Physician Assistant in Idabel, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

601 SE Washington St
Idabel, OK 74745-3319
Phone: (580) 286-6688
Fax: (580) 286-6699
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA45 (OK)

Record details

NPI number1366451890
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 5, 2006
Last updated in NPPESSeptember 3, 2015

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