Melissa Dawn Gordon, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

K6595 Issued in TX

Practice address

7501 Lakeview Pkwy
Ste 160
Rowlett, TX 75088-9322

Phone

(972) 526-0340

Fax

(972) 996-1857

NPI assigned

Mar 30, 2006

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 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Serenalytics, LLC

  dba Texas Pathology Laboratory

  • Clinical Medical Laboratory
  • Burleson, TX
  • NPI 1780314914
  NPD (past)
• Acute Surgical and Trauma Services

  • Surgery Physician
  • Littleton, CO
  • NPI 1477660694
  NPD (past)

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1356302210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 226",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750300226",
            "telephone_number": "972-526-0340",
            "fax_number": "972-996-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 LAKEVIEW PKWY",
            "address_2": "STE 160",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750889322",
            "telephone_number": "972-526-0340",
            "fax_number": "972-996-1857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "MELISSA",
        "middle_name": "DAWN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "K6595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151721103",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01309809",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8EB429",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8EB428",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151721104",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01309810",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Renee Goins-Turner
• Golden Choice Home Health Agency L.L.C.
• Ashley R Goodall, PA
• Kimberly Brooke Goode
• Goodnight Z Holdings
• Diane Grant, RN
• Angela Jones Gray, DDS
• Greater Lewisville Therapy Center Inc
• Lauren Calista Green, RBT
• Gregory Balogun (Genesis Mental Health Services)

• Anatomic Pathology & Clinical Pathology Physician in Rowlett, TX
• Providers in Rowlett, TX by specialty
• Anatomic Pathology & Clinical Pathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.