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SHAWN GORDEN MD PSC NPI 1568638062


NPI Information

NPI: 1568638062
Provider Name: SHAWN GORDEN MD, PSC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
617 23RD ST STE 6
ASHLAND, KY
ZIP 41101
Phone: (606) 326-0024
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SHAWN GORDEN MD, PSC is an obstetrics gynecology in Ashland, KY. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SHAWN GORDEN MD, PSC NPI is 1568638062. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

617 23RD ST STE 6
ASHLAND, KY
ZIP 41101-845
Phone: (606) 326-0024
Fax: (606) 326-0041

The provider's authorized official is Shawn Gorden .
The authorized official title is Presdient and has the following contact phone number (606) 326-0024.

The enumeration date for this NPI number is 5/5/2008 and was last updated on 5/5/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology39057KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19417MEDICARE PINKENTUCKY
2H71312MEDICARE UPINKENTUCKY
364091820MEDICAIDKENTUCKY
42552545MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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