NPI 1316936842 · live from the CMS NPI Registry
Wade Travis Gordon, MD
Orthopaedic Surgery in Sayre, PA. National Provider Identifier 1316936842, active.
NPI record
| NPI | 1316936842 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 1 Guthrie Sq, Sayre, PA 18840 |
| Practice phone | 570-887-2841 |
| Enumerated | October 18, 2005 |
| Last updated | March 15, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | 221155 (NY) |
| Orthopaedic Surgery primary | 207X00000X | MD469347 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.