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MR. LUCIUS NMN GORDON JR. PA-C
NPI 1396814778
Physician Assistant in Roy, UT

Active since November 07, 2006
5640 S 3500 W, ROY, UT 84067(801) 773-2838(801) 773-3025 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Lucius Nmn Gordon Jr. Pa-c NPPES

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

MR. LUCIUS NMN GORDON JR. PA-C (NPI 1396814778) is an individual physician assistant in Roy, Utah, licensed in Utah (10495233-1206) and active in the NPI registry since November 2006. He maintains a secondary practice location in Fort Sill.

NPPES Registry Identity

NPI1396814778
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. LUCIUS NMN GORDON JR.Credential: PA-C
Location Address5640 S 3500 WRoy, UT 84067-9158
Mailing Address1055 N 500 W Attn: CredentialingProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941
Phone(801) 773-2838
Fax(801) 773-3025
Sole ProprietorNo
Enumeration DateNovember 7, 2006
Last NPPES UpdateMarch 17, 2018
✔ NPI 1396814778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 10495233-1206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5640 S 3500 W, Roy, UT 84067
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Secondary Practice Location 1

Location 14301 Mow-Way Road, Reynolds Army Community Hospital(ATTN Ms. Prescott)Fort Sill, OK 73503-6300 · Phone (580) 458-2134 · Fax (580) 458-2314

Other Providers at the Same Location NPPES 10

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

JERRICA ELIZABETH STODDARD FNP
Nurse Practitioner (Family)
5640 S 3500 W
ROY, UT 84067
Weber County (801) 773-2838
JEFFERY W ANDERSON PA
Physician Assistant (Medical)
5640 S 3500 W
ROY, UT 84067
Weber County (801) 773-2838
DR. BRINTON S WOODS D.O.
Family Medicine
5640 S 3500 W
ROY, UT 84067
Weber County (801) 773-2838
DARLENE L PETERSEN M.D.
Family Medicine
5640 S 3500 W
ROY, UT 84067
Weber County (801) 773-2838
MR. MICHEAL SHAWN DAWSON PA-C
Physician Assistant
5640 S 3500 W
ROY, UT 84067
Weber County (801) 773-2838
CURTIS SHEPHERD LCSW
Social Worker (Clinical)
5640 S 3500 W
ROY, UT 84067
Weber County (801) 773-2838
MRS. JONI MICHELLE JONES FNP
Nurse Practitioner (Family)
5640 S 3500 W
ROY, UT 84067
Weber County (801) 773-2838
GARY EARL BRUNDAGE
Social Worker (Clinical)
5640 S 3500 W
ROY, UT 84067
Weber County (017) 732-8388

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 Lucius Gordon's NPI number?

The NPI number for Lucius Gordon is 1396814778. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Lucius Gordon located?

Lucius Gordon practices at 5640 S 3500 W, Roy, UT 84067. The listed phone number is (801) 773-2838.

What is Lucius Gordon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Lucius Gordon was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.