Rachel Fritsche Gordon, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

Northwest Health Urgent Care-Siloam Springs
3721 US-412
Siloam Springs, AR 72761

Phone

(479) 215-3080

Fax

(713) 794-8875

NPI assigned

Jun 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rachel Lauren Fritsche Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Advanced Aesthetics & Wellness Center PA, Earlmd Family Medicine PA

  • Family Medicine Physician
  • Bentonville, AR
  • NPI 1811135809
  NPD (past)

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1801279575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 DUNLAVY ST",
            "address_2": "APT #4137",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065401",
            "telephone_number": "713-791-1414",
            "fax_number": "713-794-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTHWEST HEALTH URGENT CARE-SILOAM SPRINGS",
            "address_2": "3721 US-412",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "72761",
            "telephone_number": "479-215-3080",
            "fax_number": "713-794-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "RACHEL",
        "middle_name": "FRITSCHE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "FRITSCHE",
            "middle_name": "LAUREN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David E Gates
• Nancy Lou Ghormley, LPC
• Jessica Gibson, LMSW
• Julie Ann Glenn, PTA
• Caitlin Dawn Goddard
• Megan Gotwalt
• Christina Gail Granderson, MHPP
• Peter Mark Granderson, APN, FNP-C
• Cynda Christine Grant, SLP
• Emilee Nicole Graves, PTA

• Medical Physician Assistant in Siloam Springs, AR
• Providers in Siloam Springs, AR by specialty
• Medical Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.