Paul Gordon Pin

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

H5133 Issued in TX

Practice address

3600 Gaston Ave
Ste 410
Dallas, TX 75246-1804

Phone

(214) 827-2530

Fax

(214) 826-6754

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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.

• Kelling Plastic Surgery, P.a.

  • Plastic and Reconstructive Surgery Physician
  • Dallas, TX
  • NPI 1144902123
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1568469484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE",
            "address_2": "STE 410",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461804",
            "telephone_number": "214-827-2530",
            "fax_number": "214-826-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE",
            "address_2": "STE 410",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461804",
            "telephone_number": "214-827-2530",
            "fax_number": "214-826-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIN",
        "first_name": "PAUL",
        "middle_name": "GORDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "H5133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pilotspan LLC
• Jennifer Louise Pilotte, AGACNP
• Christine M Pilson, D.C.
• Jasmin Ileana Pimentel, PA-C
• Monica Del Socorro Pimentel
• Emily Guadalupe Pina
• Lloyd Christopher Pina, NURSE PRACTITIONER
• Roberto Pina
• Kevin Rubio Pinaroc, RD, LD
• James Samuel Pinckney II, M.D.

• Plastic Surgery Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.