Gordon A Myco, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3460 Issued in WA

Practice address

919 State Ave Ste 102
Marysville, WA 98270-4284

Phone

(360) 653-6010

Fax

(360) 653-6008

NPI assigned

Feb 22, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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

Locations

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.

• SSFC PS

  • Chiropractor
  • Marysville, WA
  • NPI 1972723641
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1427183144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 STATE AVE STE 102",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704284",
            "telephone_number": "360-653-6010",
            "fax_number": "360-653-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 STATE AVE STE 102",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704284",
            "telephone_number": "360-653-6010",
            "fax_number": "360-653-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYCO",
        "first_name": "GORDON",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "3460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN #",
            "identifier": "G8879358",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mswigs
• Kathleen Mulligan, DDS, PLLC
• Esther Murigu
• Edward Michael Murphy, M.A., M.H.P.
• Ashley Murrieta Ortega, BSN, RN
• Arbra Caroline Myers, CDP
• Elizabeth Myers, LICSW
• Tom Edward Myers, LMP
• Naomi Transportation LLC
• Sarah Ann Narine, DPT

• Chiropractor in Marysville, WA
• Providers in Marysville, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.