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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARYELLEN GORDIAN MD
NPI 1194704619
General Practice in Ft Richardson, AK

Active since January 12, 2006
BLDG 60702, FT RICHARDSON, AK 99505(907) 384-6017 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maryellen Gordian Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYELLEN GORDIAN MD (NPI 1194704619) is an individual general practice provider in Ft Richardson, Alaska, licensed in Alaska (2758) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1194704619
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameMARYELLEN GORDIANCredential: MD
Location AddressBLDG 60702Ft Richardson, AK 99505
Mailing AddressPo Box 241769Anchorage, AK 99524-1769 · (907) 770-2380 · Fax (907) 770-2390
Phone(907) 384-6017
Sole ProprietorNo
Enumeration DateJanuary 12, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1194704619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in AK · 2758
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
BLDG 60702, Ft Richardson, AK 99505
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Other Identifiers 1

MedicaidMD27581AK

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryellen Gordian's NPI number?

The NPI number for Maryellen Gordian is 1194704619. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Where is Maryellen Gordian located?

Maryellen Gordian practices at Bldg 60702, Ft Richardson, AK 99505. The listed phone number is (907) 384-6017.

What is Maryellen Gordian's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Maryellen Gordian was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.