DR. SHAYNA LEE GORDON (NPI# 1679849780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679849780 |
Entity Type | Individual |
Full Name | DR. SHAYNA LEE GORDON |
Credential | M.D. |
Practice Address |
1100 Southfield Dr Suite 1240 Plainfield IN 46168-4498 |
Mailing Address |
1214 Woodbridge Ln Indianapolis IN 46260-1241 |
Practice Telephone | 3178389911 |
Practice Fax Number | 3178376080 |
Mailing Telephone | 3172507429 |
Enumeration Date | 2012-03-23 |
Last Update Date | 2017-04-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
01078403A | IN | Allopathic & Osteopathic Physicians |
Street Address |
1100 SOUTHFIELD DR SUITE 1240 |
City | PLAINFIELD |
State | IN |
Zip Code | 46168-4498 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396748778 | Scott Thomas Guenthner | Dermatology | 1100 Southfield Dr, Ste 1240, Plainfield, IN 46168-4499 | 2005-05-31 |
1407375579 | Samantha Sparks | Physical Therapy Assistant | 1100 Southfield Dr, Plainfield, IN 46168-4498 | 2017-09-11 |
1649621780 | Audrey Hewitt | Physician Assistant | 1100 Southfield Dr, Suite 1240, Plainfield, IN 46168-4498 | 2016-06-30 |
1538520408 | Abigail Wantz | Nurse Practitioner | 1100 Southfield Dr, Ste 1220, Plainfield, IN 46168-4499 | 2016-03-18 |
1346624061 | Glasshouse Optical, Inc | Technician/Technologist | 1100 Southfield Dr, Suite 1320, Plainfield, IN 46168-4498 | 2015-07-13 |
1467782391 | Lisa Kay Summerlot | Physical Therapist | 1100 Southfield Dr, Plainfield, IN 46168-4498 | 2009-12-24 |
1700113792 | Hendricks Regional Health Occupational Medicine | Clinic/Center | 1100 Southfield Dr, Suite 1120, Plainfield, IN 46168-4498 | 2009-11-11 |
1508033408 | Anna Gramling | Internal Medicine | 1100 Southfield Dr, Suite 1330, Plainfield, IN 46168-4498 | 2008-05-11 |
1356519003 | Cynthia A. Myers | Physical Therapist | 1100 Southfield Dr, Suite 1100, Plainfield, IN 46168-4498 | 2008-02-15 |
1255537775 | Hendricks County Hospital | Internal Medicine | 1100 Southfield Dr, Suite 1330, Plainfield, IN 46168-4498 | 2007-06-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922614825 | Indiana Behavioral Innovations LLC | Psychiatric Hospital | 1051 Southfield Dr, Plainfield, IN 46168 | 2020-09-17 |
1295243731 | Quad/med, LLC | Clinic/Center | 9998 Allpoints Parkway, Plainfield, IN 46168 | 2018-01-18 |
1255702478 | Dental Professionals of Indiana, PC | Dentist | 2455 E. Main St., Suite 104, Plainfield, IN 46168 | 2015-10-14 |
1760861991 | Audrey Falkenstein | Behavioral Analyst | 1599 Township Line Road, Plainfield, IN 46168 | 2015-05-20 |
1356751754 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 400 Dan Jones Rd, Plainfield, IN 46168 | 2014-05-07 |
1841612835 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 5865 Sugar Lane, Plainfield, IN 46168 | 2014-01-10 |
1063850576 | Philip A. Blaney | Family Medicine | 315 N Dan Jones Rd Ste 120, Plainfield, IN 46168 | 2013-06-06 |
1659622512 | Integrity Behavioral Solutions, LLC | Behavioral Analyst | 1599 Township Line Rd., Plainfield, IN 46168 | 2012-10-01 |
1720348428 | Robert J. Krause, D.c., P.C. | Chiropractor | 1729 E. Main Street, Plainfield, IN 46168 | 2012-05-29 |
1205075561 | Amanda Nicole Harty | Speech-Language Pathologist | 611 White Lick Lane, Plainfield, IN 46168 | 2009-02-10 |
Find all providers in zip 46168 |
Taxonomy Code | 207ND0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | MOHS-Micrographic Surgery |
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
1780137232 | Forefront Dermatology, S.c. | Dermatology | 265 Quartermaster Ct, Jeffersonville, IN 47130 | 2016-08-02 |
1255782306 | Forefront Dermatology, S.c. | Dermatology | 2130 W Sycamore St Ste 200, Kokomo, IN 46901 | 2016-06-29 |
1144680604 | Forefront Dermatology, S.c. | Dermatology | 244 Westwood Blvd, Columbus, IN 47201 | 2016-02-26 |
1730560079 | Forefront Dermatology, S.c. | Dermatology | 415 S Landmark Ave, Bloomington, IN 47403-5003 | 2015-06-12 |
1295771244 | Carl William Hanke | Dermatology | 8925 N Meridian St Ste 200, Indianapolis, IN 46260-2385 | 2006-06-20 |
1821574039 | Michael Kunz | Dermatology | 545 Barnhill Drive, Emerson Hall 139, Indianapolis, IN 46202 | 2018-07-11 |
1952769044 | Forefront Dermatology, S.c. | Dermatology | 755 W Carmel Dr, Suite 101, Carmel, IN 46032 | 2016-02-03 |
1417335019 | Forefront Dermatology, S.c. | Dermatology | 395 Northside Dr, Batesville, IN 47006 | 2015-05-14 |
1235534629 | Forefront Dermatology, S.c. | Dermatology | 8325 S Emerson Ave Ste C1, Indianapolis, IN 46237 | 2014-10-28 |
Find all providers with the same taxonomy |
City | PLAINFIELD |
Zip Code | 46168 |
Please comment or provide details below to improve the information on DR. SHAYNA LEE GORDON.
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.