Christopher Gordon DO, LLC
NPI 1770043317ActiveOrganization· Allergy & Immunology· Provo, UT
Allergy & Immunology in Provo, Utah, registered in NPPES in March 2019. The authorized official on file is Christopher Gordon, DO, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1770043317 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 20, 2019 |
| Last updated in NPPES | Sep 4, 2025 |
| Certified by provider | Sep 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Allergy & Immunology Primary | 207K00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
Other Allergy & Immunology providers in Provo
- 1215865589
- 1053565978
- 1003234873
- 1649251646