W Gordon Eiland, PT SCS ATC

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

1057388 Issued in TX

Practice address

5407 New Copeland Rd
Tyler, TX 75703

Phone

(903) 780-5886

Fax

(903) 531-2241

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Gordon Eiland Other name

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inspire Physical TherapyGroup PAC ID 1355529439, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Inspire Physical Therapy

  • Physical Therapist
  • Anchorage, AK
  • NPI 1902196645
  Medicare reassignment Care Compare group
• Bunker & Eiland PC

  • Physical Therapist
  • Tyler, TX
  • NPI 1336109859
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309478400000",
    "number": "1376582973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 NEW COPELAND RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75703",
            "telephone_number": "903-780-5886",
            "fax_number": "903-531-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 NEW COPELAND RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75703",
            "telephone_number": "903-780-5886",
            "fax_number": "903-531-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EILAND",
        "first_name": "W",
        "middle_name": "GORDON",
        "credential": "PT SCS ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "TX",
            "license": "1057388",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT1193",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GORDON",
            "last_name": "EILAND",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kamesha Edwards
• Lindsey Nicole Edwards, FNP-C
• Mary Anne Edwards, FNP
• Eh Home Health of East Texas, LLC
• Nda Ehouman
• Jessica Eitel, NP-C
• Ifunanya Ekechukwu, MD
• Mohamad El-Khatib
• Subbarao Elapavaluru, MD
• Charissa Elazegui Culanag, PT

• Sports Physical Therapist in Tyler, TX
• Providers in Tyler, TX by specialty
• Sports Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.