DR. SHAYNA LEE GORDON


Address: 1100 Southfield Dr, Suite 1240, Plainfield, IN 46168-4498
Phone: 3178389911

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
01078403A IN Allopathic & Osteopathic Physicians

Office Location

Street Address 1100 SOUTHFIELD DR
SUITE 1240
City PLAINFIELD
State IN
Zip Code 46168-4498

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207ND0101X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization MOHS-Micrographic Surgery

Taxonomy Definition

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/

Providers in the same taxonomy and state

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
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Competitor

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City PLAINFIELD
Zip Code 46168

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Dataset Information

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.

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