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

Otis T Gordon, MD

Individual provider Gastroenterology Physician · NPI 1851355218

Otis T Gordon, MD is a Gastroenterology in Little Rock, Arkansas. Graduated from Emory University School of Medicine in 1999, 27 years ago. Practices with St Vincent Medical Group, a 247-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
27
Trained at
Emory University School of Medicine
Licensed in
AR
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

415 N University Ave
Little Rock, AR 72205-3108
Phone: (501) 666-0249
Fax: (501) 666-4340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence E-4082 (AR)
Gastroenterology Physician Taxonomy 207RG0100X · Licence E4082 (AR)

Record details

NPI number1851355218
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2006
Last updated in NPPESJuly 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice St Vincent Medical Group — 247 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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