MR. SCOTT S GORDON (NPI# 1306003058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306003058 |
| Entity Type | Individual |
| Full Name | MR. SCOTT S GORDON |
| Credential | PA |
| Practice Address |
700 West Broadway Fritch TX 79036-1570 |
| Mailing Address |
700 West Broadway Po Box 1570 Fritch TX 79036-1570 |
| Practice Telephone | 8068572311 |
| Practice Fax Number | 8068579362 |
| Mailing Telephone | 8068572311 |
| Mailing Fax Number | 8068579362 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA01597 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497024475 | Scott Michael Gordon | Dentist | 1238 N Main Ave, Scranton, PA 18508-2130 | 2011-12-21 |
| 1316233992 | Scott Robert Gordon | Spec/Tech, Pathology | 330 Merlot Dr # 41, Prosser, WA 99350-9551 | 2011-06-22 |
| 1164745824 | Scott William Gordon | Podiatrist | 2301 Indian Wells Rd Ste A, Alamogordo, NM 88310-4611 | 2010-03-10 |
| 1588765002 | Scott Jason Gordon | Counselor | 174 Blue Grass Ct, Angier, NC 27501-6861 | 2006-09-26 |
| 1821038159 | Scott Gordon | Psychiatry & Neurology | 200 S Ritchie Ave, Ravenswood, WV 26164-1721 | 2006-06-07 |
| 1083612071 | Scott Thomas Gordon | Dentist | 3905 Rr 620 N, Austin, TX 78734-2120 | 2005-07-13 |
| 1487003646 | Scott Morris Gordon | Hearing Instrument Specialist | 6091 Linglestown Rd, Harrisburg, PA 17112-1208 | 2016-06-08 |
| 1649679259 | Scott Gordon | Counselor | 4721 Reading Rd, Cincinnati, OH 45237-6107 | 2014-08-19 |
| 1487080685 | Scott Gordon | Case Manager/Care Coordinator | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2013-09-19 |
| 1730514423 | Scott David Gordon | Internal Medicine | 715 N Saint Joseph Ave, Hastings, NE 68901 | 2013-09-12 |
| Street Address |
700 WEST BROADWAY |
| City | FRITCH |
| State | TX |
| Zip Code | 79036-1570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326180423 | City of Fritch | Ambulance | 104 N. Robey Avenue, Fritch, TX 79036 | 2007-02-13 |
| 1780899112 | Dane Welch | Dentist | 405 West Broadway, Fritch, TX 79036-1805 | 2007-05-11 |
| 1982104832 | Timothy Dylan Standiford | Technician | 400 Pueblo Rd, Fritch, TX 79036-5041 | 2018-02-16 |
| 1225504251 | Kathy Lindsey | Registered Nurse | 319 Mustang St, Fritch, TX 79036-8156 | 2018-10-17 |
| 1396097036 | William Kelly Henderson | Dentist | 405 W Broadway St, Fritch, TX 79036-8636 | 2012-10-04 |
| 1689872020 | Gpch, LLC | Clinic/Center | 700 W Broadway St, Fritch, TX 79036-8754 | 2007-07-06 |
| 1467855213 | Fritch Dental Group, Pllc | Dentist | 102 W Broadway St, Fritch, TX 79036-8810 | 2014-10-07 |
| 1366502338 | Fritch Drug & Gift Shoppe Inc | Pharmacy | 105 W Broadway St, Fritch, TX 79036-8882 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225504251 | Kathy Lindsey | Registered Nurse | 319 Mustang St, Fritch, TX 79036-8156 | 2018-10-17 |
| 1982104832 | Timothy Dylan Standiford | Technician | 400 Pueblo Rd, Fritch, TX 79036-5041 | 2018-02-16 |
| 1396097036 | William Kelly Henderson | Dentist | 405 W Broadway St, Fritch, TX 79036-8636 | 2012-10-04 |
| 1689872020 | Gpch, LLC | Clinic/Center | 700 W Broadway St, Fritch, TX 79036-8754 | 2007-07-06 |
| 1780899112 | Dane Welch | Dentist | 405 West Broadway, Fritch, TX 79036-1805 | 2007-05-11 |
| 1326180423 | City of Fritch | Ambulance | 104 N. Robey Avenue, Fritch, TX 79036 | 2007-02-13 |
| 1366502338 | Fritch Drug & Gift Shoppe Inc | Pharmacy | 105 W Broadway St, Fritch, TX 79036-8882 | 2006-12-11 |
| 1467855213 | Fritch Dental Group, Pllc | Dentist | 102 W Broadway St, Fritch, TX 79036-8810 | 2014-10-07 |
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700440 | Heather Weir | Physician Assistant | 7331 Gaston Ave Ste 180, Dallas, TX 75214-4131 | 2020-11-03 |
| 1366042335 | Mary Elizabeth Arnold | Physician Assistant | 12455 Longmire Lakeview, Conroe, TX 77304-1087 | 2020-10-29 |
| 1396345443 | Avery Rhodes Schwartz | Physician Assistant | 2206 Latexo Dr, Houston, TX 77018-1717 | 2020-10-28 |
| 1174123111 | Stephanie Rae Moench | Physician Assistant | 1704 Enfield Rd Apt 102, Austin, TX 78703-3348 | 2020-10-28 |
| 1811596927 | Emily Lau | Physician Assistant | 3848 N Tarrant Pkwy Ste 120, Fort Worth, TX 76244-5422 | 2020-10-20 |
| 1720686116 | Richard Magana | Physician Assistant | 1651 Ridgemar Dr, Grand Prairie, TX 75051-3340 | 2020-10-16 |
| 1295333532 | Victoria Jane Campbell | Physician Assistant | 4412 Young Dr, Carrollton, TX 75010-1144 | 2020-10-09 |
| 1134726763 | Barbara Elizabeth Montoya | Physician Assistant | 3309 Nottingham Dr, Laredo, TX 78043-1202 | 2020-10-06 |
| 1376140400 | April L Thepsoumane | Physician Assistant | 4808 Hale Dr, Austin, TX 78749-3711 | 2020-10-01 |
| 1881291938 | Christine Nicole Nott | Physician Assistant | 13325 Hargrave Rd # 240, Houston, TX 77070-4539 | 2020-10-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.