| Dr Gordon Leigh Heiss, DO | |
|
3 Lyon Pl, Ogdensburg, NY 13669-2590 | |
| (315) 713-6700 | |
| Not Available |
| Full Name | Dr Gordon Leigh Heiss |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 3 Lyon Pl, Ogdensburg, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053330563 | NPI | - | NPPES |
| 01600059 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 199696 (New York) | Primary |
| Entity Name | Claxton-hepburn Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891753034 PECOS PAC ID: 8426966508 Enrollment ID: O20031110000552 |
| Entity Name | Claxton Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114164944 PECOS PAC ID: 0244389153 Enrollment ID: O20090526000410 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gordon Leigh Heiss, DO 3 Lyon Pl, Ogdensburg, NY 13669-2590 Ph: (315) 713-6700 | Dr Gordon Leigh Heiss, DO 3 Lyon Pl, Ogdensburg, NY 13669-2590 Ph: (315) 713-6700 |
Kaichun Wei, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3 Lyon Place, Ogdensburg, NY 13669 Phone: 315-713-6700 Fax: 866-816-0815 | |
Andrew J Ogden, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3 Lyon Place, Ste 300, Ogdensburg, NY 13669 Phone: 315-393-6186 Fax: 315-393-2639 | |
Glasine O Lawson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3 Lyon Pl, Ogdensburg, NY 13669 Phone: 315-713-6700 Fax: 315-713-6711 | |
Peggy Bastien, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3 Lyon Place, Ogdensburg, NY 13669 Phone: 315-393-6186 Fax: 315-394-0015 | |
Dr. Srinivas Ketharaju, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3 Lyon Pl, Ogdensburg, NY 13669 Phone: 315-713-6700 Fax: 866-816-0815 | |
Dr. Orakwao David Dowuona, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3 Lyon Place, Ogdensburg, NY 13669 Phone: 315-713-6700 Fax: 866-816-0815 |