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

Ian Gordon, PA

Individual provider Physician Assistant · NPI 1770906539

Ian Gordon, PA is a Physician Assistant in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2014.

Licensed in
OK
In the registry since
2014
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4120 W Memorial Rd Ste 300
Oklahoma City, OK 73120-9320
Phone: (405) 748-3300
Fax: (405) 749-1671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2358 (OK)
Physician Assistant Taxonomy 363A00000X · Licence 2358 (OK)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2358 (OK)

Record details

NPI number1770906539
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 30, 2014
Last updated in NPPESJune 12, 2015

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