Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SCOTT GORDON, MD
ActiveSCOTT GORDON, MD is a Psychiatry healthcare provider located in RAVENSWOOD, West Virginia. NPI 1821038159 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · RAVENSWOOD, WV
Registration Details
- NPI Number
- 1821038159
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 7, 2006 (20.217959634254 yrs)
- Last Updated
- Sep 26, 2016
- Licenses
-
036093512 (IL)26351 (WV)54096 (TN)TM2015-0037 (NM)
Practice Information
- Address
-
200 S RITCHIE AVERAVENSWOOD, WV, 261641721Browse WV providers · Browse ZIP 26164
- Phone
- 8442914535
- Primary Specialty
-
Psychiatry
2084P0800X
- Additional Specialty
- Psychiatry
- Additional Specialty
- Psychiatry
- Additional Specialty
- Psychiatry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.