Travis Daniel Gordon, MD

Primary specialty

Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X

License

2025027678 Issued in MO

Practice address

4353 Clayton Ave
Saint Louis, MO 63110-1621

Phone

(314) 362-0700

NPI assigned

Sep 24, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1184597544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4591 MCREE AVE # 417",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102237",
            "telephone_number": "604-968-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4353 CLAYTON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101621",
            "telephone_number": "314-362-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "TRAVIS",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "MO",
            "license": "2025027678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Gordon, CPNP
• Lori Ann Gordon, MSW, PLCSW
• Ryan Michael Gordon, PT, DPT
• Sarah Helene Gordon
• Susan Linder Gordon, MED LPC
• Wesley Gordon
• Weston Robert Gordon, M.D.
• Catherine Ann Gore, REGISTERED NURSE
• Sean E Goretzke, M.D.
• Jennifer A Gorham, PA-C

• Surgery of the Hand (Plastic Surgery) Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Surgery of the Hand (Plastic Surgery) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.