Doris W Gordy, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

7471 N Fresno St
Fresno, CA 93720-2457

Phone

(559) 436-4500

Fax

(559) 261-1526

NPI assigned

Jul 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1083636138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 BAILEY ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932305921",
            "telephone_number": "559-584-6499",
            "fax_number": "559-584-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7471 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202457",
            "telephone_number": "559-436-4500",
            "fax_number": "559-261-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDY",
        "first_name": "DORIS",
        "middle_name": "W",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA18354",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karla Gordillo
• Wanda Kay Gordon McIntosh, LCSW
• Jolie Marie Gordon-Browar, RN
• Kierra Shaunte Gordon-Smith
• Jacqueline Gordon, LPCC
• Gorham Family Therapy, Inc
• Ashley Nicole Gorham
• Jeffrey Stephen Gorman, DMD
• Jillian Gorman
• Steven Goss, P.A.

• Medical Physician Assistant in Fresno, CA
• Providers in Fresno, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.