TRAVIS DANIEL GORDON MD NPI 1184597544

NPI Information

  • NPI: 1184597544
  • Provider Name: TRAVIS DANIEL GORDON, MD
  • Classification: Plastic Surgery - 2082S0105X
  • Specialization: Surgery of the Hand
  • Entity Type: Individual
  • Address: 4353 CLAYTON AVE
    SAINT LOUIS, MO
    ZIP 63110
  • Phone: (314) 362-0700

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NPI Details

Travis Daniel Gordon, MD is a surgery of the hand plastic surgery in Saint Louis, MO. The provider is a plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. Travis Daniel Gordon, MD NPI is 1184597544. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4353 CLAYTON AVE
SAINT LOUIS, MO
ZIP 63110-621
Phone: (314) 362-0700

The enumeration date for this NPI number is 9/24/2025 and was last updated on 9/24/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12082S0105XPlastic SurgerySurgery of the Hand2025027678MISSOURIYes

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: 11/21/2025

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