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SCOTT W GORDON, DPM – NPI #1164745824
Surgery, Foot & Ankle

NPI Profile for SCOTT W GORDON in PRATT, KS.

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Contact Information

SCOTT W GORDON, DPM
203 WATSON ST STE 300
PRATT, KS  67124-3092
 Phone: 620-672-1002
 Fax: 620-450-1741
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

 213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for SCOTT W GORDON · (Male)

NPI Number 1164745824
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 03/10/2010
Last updated 03/26/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 0738
  • KS License # 1200396
  • NM License # 345
Hospital affiliation(s)
  • EDWARDS COUNTY HOSPITAL - (Critical Access)
    620 WEST EIGHTH STREET
    KINSLEY, KS 67547
  • HOSPITAL DISTRICT #6 OF HARPER COUNTY - (Critical Access)
    1101 E SPRING STREET
    ANTHONY, KS 67003
  • MINNEOLA DISTRICT HOSPITAL #2 - (Critical Access)
    212 MAIN
    MINNEOLA, KS 67865
  • PRATT REGIONAL MEDICAL CENTER - (Acute Care)
    200 COMMODORE ST
    PRATT, KS 67124
  • STAFFORD COUNTY HOSPITAL - (Critical Access)
    502 S BUCKEYE
    STAFFORD, KS 67578
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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