Scott Robert Gordon, MT (AMT)

Primary specialty

Medical TechnologistTaxonomy code 246QM0706X

Practice address

330 Merlot Dr # 41
Prosser, WA 99350-9551

Phone

(509) 460-2947

NPI assigned

Jun 22, 2011

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1316233992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MERLOT DR # 41",
            "city": "PROSSER",
            "state": "WA",
            "postal_code": "993509551",
            "telephone_number": "509-460-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MERLOT DR # 41",
            "city": "PROSSER",
            "state": "WA",
            "postal_code": "993509551",
            "telephone_number": "509-460-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "SCOTT",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "MT (AMT)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura H George, DPT
• Brian Gese
• Joel Gibb, D.C.
• Gibbons Pharmacies LLC
• Elena Fausto Gonzalez
• Spencer Edward Greer, D.D.S.
• Nancy Groff, P.T.
• Ashley Nicole Gunderson, RDN
• Kevin P Gurney, CRNA
• Thomas Lee Halvorson, MD

• All providers in Prosser, WA
• Medical Technologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.