Organization Active NPI

Shawn Gorden MD PSC

  • Specialist
  • Ashland, KY
National Provider Identifier
1356489652
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
39057 Issued in KY
Legal business name
SHAWN GORDEN MD PSC
Practice address
617 23Rd St
Ste 6
Ashland, KY 41101-2845
Phone
(606) 326-0024
Fax
(606) 326-0041
NPI assigned
Feb 1, 2007
Last updated
Jun 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Shawn Gorden, MDNPI 1851482947
Title
Pres
Phone
(606) 326-0024

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 39057 KY Primary

Addresses

Primary practice location

617 23Rd St
Ste 6
Ashland, KY 41101-2845

Mailing address

617 23Rd St
Ste 6
Ashland, KY 41101-2845
Phone (606) 326-0024

National Provider Directory

National Provider Directory

Locations

617 23rd St
Ste 17
Ashland, KY 41101
Phone (606) 325-6888

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1356489652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 23RD ST",
            "address_2": "STE 6",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012845",
            "telephone_number": "606-326-0024",
            "fax_number": "606-326-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 23RD ST",
            "address_2": "STE 6",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012845",
            "telephone_number": "606-326-0024",
            "fax_number": "606-326-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN GORDEN MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "GORDEN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "606-326-0024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "39057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.