Jessica Susan Gordon, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

DO1438 Issued in NV

Practice address

6900 Pecos Rd
North Las Vegas, NV 89086-4400

Phone

(702) 791-9000

NPI assigned

Mar 10, 2008

Last updated

Jun 14, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• South Lyon Health Center, Inc.

  dba South Lyon Medical Center

  • Critical Access Hospital
  • Yerington, NV
  • NPI 1376917302
  Medicare reassignment NPD
• South Lyon Health Center, Inc.

  dba South Lyon Medical Center

  • General Acute Care Hospital
  • Yerington, NV
  • NPI 1932160363
  Medicare reassignment NPD
• South Lyon Health Center, Inc.

  dba South Lyon Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Yerington, NV
  • NPI 1285008219
  NPD
• South Lyon Health Center, Inc.

  dba South Lyon Medical Center

  • Physical Therapist
  • Yerington, NV
  • NPI 1407815194
  NPD
• Inpatient Consultants of Nevada, Inc. a Medical Corporation

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1821041070

  Internal Medicine

  NPD (past)
• Nopah Vista Emergency Physicians LLC

  • Emergency Medicine Physician
  • Pahrump, NV
  • NPI 1396794095
  NPD (past)
• Zenith Hospitalists Billakanti and Janapati LLP

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1609812171
  NPD (past)

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1295905867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 VALENZANO WAY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890127207",
            "telephone_number": "702-496-2200",
            "fax_number": "702-837-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 PECOS RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890864400",
            "telephone_number": "702-791-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JESSICA",
        "middle_name": "SUSAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-10",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "DO1438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295905867",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Gonzalez
• Madison Goodbody
• Marina Gorbachinsky, ANP
• Ashley Juliet Gordon
• Helen Gordon
• Laquinta Gordon
• Rose Gordon
• David Gerard Gorman
• Michelle Renee Gorney, MSW
• Brittany Goucher

• Internal Medicine Physician in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.