Scott S Gordon, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA01597 Issued in TX

Practice address

700 West Broadway
Fritch, TX 79036-1570

Phone

(806) 857-2311

Fax

(806) 857-9362

NPI assigned

May 20, 2008

Last updated

Jun 13, 2008By the provider in NPPES

Sex

Male

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 TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: scott.gordon.p1@direct.gpspecialtyclinic.nextgenshare.com

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.

• GPCH, LLC

  dba Golden Plains Community Hospital

  • Critical Access Hospital
  • Borger, TX
  • NPI 1841497153
  Medicare reassignment NPD (past)

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1306003058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WEST BROADWAY",
            "address_2": "PO BOX 1570",
            "city": "FRITCH",
            "state": "TX",
            "postal_code": "790361570",
            "telephone_number": "806-857-2311",
            "fax_number": "806-857-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WEST BROADWAY",
            "city": "FRITCH",
            "state": "TX",
            "postal_code": "790361570",
            "telephone_number": "806-857-2311",
            "fax_number": "806-857-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "SCOTT",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA01597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Fritch
• Fritch Dental Group, PLLC
• Fritch Drug & Gift Shoppe Inc (Fritch Drug and Gift Shoppe)
• GPCH, LLC (Fritch Medical Clinic)
• Ashton Allen Hall
• William Kelly Henderson, DDS
• Kathy Lindsey
• Timothy Dylan Standiford

• Physician Assistant in Fritch, TX
• Providers in Fritch, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.