Organization Active NPI

Wayne H. Gordon, MD

  • Neurology Physician
  • San Antonio, TX
National Provider Identifier
1043432008
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
WAYNE H. GORDON, MD
Practice address
14607 San Pedro Ave Ste 220
San Antonio, TX 78232-4356
Phone
(281) 295-4208
Fax
(281) 295-4065
NPI assigned
May 2, 2007
Last updated
Nov 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Maureen Ann Craven
Title
Edi Coordinator
Phone
(281) 295-4208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

14607 San Pedro Ave Ste 220
San Antonio, TX 78232-4356

Mailing address

14607 San Pedro Ave Ste 220
San Antonio, TX 78232-4356
Phone (281) 295-4208

Other practice location 1

15614 Huebner Rd Ste 110
San Antonio, TX 78248-0993
Phone (210) 775-0390

National Provider Directory

National Provider Directory

Locations

14607 San Pedro Ave
Ste 220
San Antonio, TX 78232
Phone (210) 490-0016

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1043432008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14607 SAN PEDRO AVE STE 220",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324356",
            "telephone_number": "281-295-4208",
            "fax_number": "281-295-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14607 SAN PEDRO AVE STE 220",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324356",
            "telephone_number": "281-295-4208",
            "fax_number": "281-295-4065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15614 Huebner Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782480993",
            "country_code": "US",
            "telephone_number": "210-775-0390",
            "fax_number": "800-706-7601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WAYNE H. GORDON, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "CRAVEN",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EDI COORDINATOR",
        "authorized_official_telephone_number": "281-295-4208",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.