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ISIS GORDON
NPI 1124968052
Student in an Organized Health Care Education/Training Program in Odessa, TX

Active since March 31, 2026PECOS Enrolled
701 W 5TH ST, ODESSA, TX 79763(432) 703-5238 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Isis Gordon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ISIS GORDON (NPI 1124968052) is an individual student in an organized health care education/training program in Odessa, Texas and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124968052
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameISIS GORDON
Location Address701 W 5TH STOdessa, TX 79763-4206
Mailing Address701 W 5th StOdessa, TX 79763-4206
Phone(432) 703-5238
Sole ProprietorNo
Enumeration DateMarch 31, 2026
NPPES CertifiedMarch 31, 2026
✔ NPI 1124968052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
701 W 5TH ST, Odessa, TX 79763
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Isis Gordon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADETOMIWA OGUNDERE M.D.
Internal Medicine
701 W 5TH ST
ODESSA, TX 79763
Ector County (432) 703-5375
DR. CARLOS NIETO JR. M.D.
Pediatrics (Pediatric Critical Care Medicine)
701 W 5TH ST
ODESSA, TX 79763
Ector County (432) 335-1500
AMOGE CHINENYE OPARA MD
Student in an Organized Health Care Education/Training Program
701 W 5TH ST
ODESSA, TX 79763
Ector County (432) 703-5238
DR. STEPHANIE VILLARREAL M.D.
Pediatrics
701 W 5TH ST
ODESSA, TX 79763
Ector County (432) 335-2222
MERIDITH LYNN BUZBEE
Student in an Organized Health Care Education/Training Program
701 W 5TH ST
ODESSA, TX 79763
Ector County (432) 703-5083
CARINA ROSE GOODART
Student in an Organized Health Care Education/Training Program
701 W 5TH ST
ODESSA, TX 79763
Ector County (432) 703-5238
CHUKWUDIKE GREAT NNAJI
Student in an Organized Health Care Education/Training Program
701 W 5TH ST
ODESSA, TX 79763
Ector County (432) 703-5238
LUTFOR NESSA MD, MPH
Internal Medicine
701 W 5TH ST
ODESSA, TX 79763
Ector County (432) 703-5375

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Isis Gordon's NPI number?

The NPI number for Isis Gordon is 1124968052. It was assigned to this individual provider in the NPPES registry on March 31, 2026.

Where is Isis Gordon located?

Isis Gordon practices at 701 W 5th St, Odessa, TX 79763. The listed phone number is (432) 703-5238.

What is Isis Gordon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Isis Gordon enrolled in Medicare?

Yes. Isis Gordon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Isis Gordon was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.