Active NPI
Hannah E Gordon
- Physician Assistant
- Princeton, WV
National Provider Identifier
1619836053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 122 12TH St
Princeton, WV 24740-2312 - Phone
- (304) 487-7000
- NPI assigned
- Jan 21, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | WV | Primary |
Addresses
Primary practice location
122 12TH St
Princeton, WV 24740-2312
Mailing address
PO Box 1482
Sophia, WV 25921-1482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Pittsburgh School of Medicine, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
497 Mall Rd
Oak Hill, WV 25901-6115
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768953600000",
"number": "1619836053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1482",
"city": "SOPHIA",
"state": "WV",
"postal_code": "259211482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 12TH ST",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247402312",
"telephone_number": "304-487-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "HANNAH",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-21",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Princeton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.
- 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.