Shayna Gordon (NPI# 1679849780, PAC ID# 4880823038) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1679849780 |
| PAC ID by PECOS | 4880823038 |
| Professional Enrollment ID | I20170822001642 |
| Full Name | Shayna Gordon |
| Organization Legal Name | DERMATOLOGY CENTER OF INDIANA PC |
| Address |
824 Edwards Dr Suite 172 Plainfield IN 46168-2792 |
| Phone Number | 3174063254 |
| Gender | F |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 0941386999 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1100 Southfield Dr, Suite 1240, Plainfield, IN 46168-4499 | 3178389911 | DERMATOLOGY CENTER OF INDIANA PC |
| 824 Edwards Dr, Suite 172, Plainfield, IN 46168-2792 | 3174063254 | DERMATOLOGY CENTER OF INDIANA PC |
| Organization Legal Name | DERMATOLOGY CENTER OF INDIANA PC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah B Lawson | Nurse Practitioner | Dermatology Center of Indiana PC | 6639 Whitestown Pkwy, Zionsville, IN 46077-7622 |
| Brittany L Lafree | Physician Assistant | Dermatology Center of Indiana PC | 2800 S State Rd 135, 250 The Dermatology Center of Indiana, Greenwood, IN 46143-6223 |
| Dennae A Dalton | Physician Assistant | Dermatology Center of Indiana PC | 6639 Whitestown Pkwy, Zionsville, IN 46077-7622 |
| Scott T Guenthner | Dermatology | Dermatology Center of Indiana PC | 6639 Whitestown Pkwy, Zionsville, IN 46077-7622 |
| Barbara R Sturm | Dermatology | Dermatology Center of Indiana PC | 1100 Southfield Dr, Suite 1240, Plainfield, IN 46168-4499 |
| Audrey Hewitt | Physician Assistant | Dermatology Center of Indiana PC | 6639 Whitestown Pkwy, Zionsville, IN 46077-7622 |
| Jeremy Nivens | Nurse Practitioner | Dermatology Center of Indiana PC | 6639 Whitestown Pkwy, Zionsville, IN 46077-7622 |
| Street Address |
824 EDWARDS DR SUITE 172 |
| City | PLAINFIELD |
| State | IN |
| Zip | 46168-2792 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yvette Monique Caviness-kelley | Nurse Practitioner | St Vincent Medical Group Inc | 2155 E Main St, Plainfield, IN 46168-1816 |
| Erica Marie Cunningham | Nurse Practitioner | St Vincent Medical Group Inc | 2155 E Main St, Plainfield, IN 46168-1816 |
| Amanda Beth Gross | Physical Therapy | St Vincent Medical Group Inc | 2155 E Main St, Plainfield, IN 46168-1816 |
| Michelle Lynne Ferguson | Nurse Practitioner | St Vincent Medical Group Inc | 2155 E Main St, Plainfield, IN 46168-1816 |
| Tiffany Michelle Alexander | Nurse Practitioner | St Vincent Medical Group Inc | 2155 E Main St, Plainfield, IN 46168-1816 |
| Tressia Diane Roberts | Physical Therapy | St Vincent Medical Group Inc | 2155 E Main St, Plainfield, IN 46168-1816 |
| Mary C Salmon | Nurse Practitioner | Little Clinic of In LLC | 1930 E Main St, Plainfield, IN 46168-1859 |
| Charles M Hudak | Optometry | Dr.h.hubbard and Associates, P.C. | 314 Metropolis Mile, Suite 125, Plainfield, IN 46168-2470 |
| Hurst Hubbard | Optometry | Dr.h.hubbard and Associates, P.C. | 314 Metropolis Mile, Suite 125, Plainfield, IN 46168-2470 |
| George F Hasselbrinck | Optometry | Dr.h.hubbard and Associates, P.C. | 314 Metropolis Mile, Suite 125, Plainfield, IN 46168-2470 |
| Find all physicians in zip 46168 | |||
| City | PLAINFIELD |
| Zip Code | 46168 |
| Specialty | DERMATOLOGY |
| City + Specialty | PLAINFIELD + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.