Active NPI
Shawn Gorden MD PSC
- Specialist
- Ashland, KY
National Provider Identifier
1356489652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 39057
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shawn Gorden, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 DirectoryLocations
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.
-
- Obstetrics & Gynecology Physician
- Manchester, KY
- NPI 1851482947
-
- Advanced Practice Midwife
- Ashland, KY
- NPI 1073604096
-
- Advanced Practice Midwife
- Morehead, KY
- NPI 1740400241
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.