Courtney Gordon, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

496 Issued in WY

Practice address

3810 E Grand Ave
Laramie, WY 82070-5179

Phone

(307) 721-1794

Fax

(907) 721-1795

NPI assigned

Feb 11, 2009

Last updated

Jul 6, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in WY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Baylor College of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Gem City Bone and Joint PCGroup PAC ID 0244144715, 21 clinicians

Care United Medical Center of Laramie LLCGroup PAC ID 7719168491, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ivinson Memorial Hospital Hospital, Laramie, WY, CCN 530025

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gem City Bone & Joint PC

  • Orthopaedic Surgery Physician
  • Laramie, WY
  • NPI 1366412397
  Medicare reassignment Care Compare group NPD
• Care United Medical Center of Laramie, LLC

  dba BestMed

  • Multi-Specialty Clinic/Center
  • Laramie, WY
  • NPI 1063720605
  Medicare reassignment Care Compare group
• Americas Express Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Cheyenne, WY
  • NPI 1457651663
  Medicare reassignment
• Frontier Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Cheyenne, WY
  • NPI 1174649909
  NPD
• Gem City Bone & Joint PC

  • Durable Medical Equipment & Medical Supplies
  • Laramie, WY
  • NPI 1952441164
  NPD
• Gem City Bone & Joint PC

  • Ambulatory Surgical Clinic/Center
  • Laramie, WY
  • NPI 1518947589
  NPD (past)
• Laramie Urgent Care

  • Urgent Care Clinic/Center
  • Laramie, WY
  • NPI 1376859322
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ivinson Memorial Hospital

  • Rural Acute Care Hospital
  • Laramie, WY
  • NPI 1336289552
  Care Compare affiliation

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1184863342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 E GRAND AVE",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705179",
            "telephone_number": "307-721-1794",
            "fax_number": "907-721-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 E GRAND AVE",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705179",
            "telephone_number": "307-721-1794",
            "fax_number": "907-721-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "COURTNEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chantell Gomez
• Talleha Gonoza
• Megan Gonterman
• Cynthia A Gonzales Guerrero
• Joseph Gonzalez
• Stefanie Gorniak
• Larry J Gossman, MA, LPC
• Daine Gostas
• Demetre Gostas
• Grace Counseling

• Physician Assistant in Laramie, WY
• Providers in Laramie, WY by specialty
• Physician Assistant in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.