SAMUEL RYAN GORDON MD
NPI 1598516502
Student in an Organized Health Care Education/Training Program in Asheville, NC

Active since March 28, 2024PECOS Enrolled
123 HENDERSONVILLE RD, ASHEVILLE, NC 28803(828) 407-2415 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samuel Ryan Gordon Md NPPES

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

SAMUEL RYAN GORDON MD (NPI 1598516502) is an individual student in an organized health care education/training program in Asheville, North Carolina and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598516502
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL RYAN GORDONCredential: MD
Location Address123 HENDERSONVILLE RDAsheville, NC 28803-2868
Mailing Address123 Hendersonville RdAsheville, NC 28803-2868 · (828) 407-2415
Sole ProprietorNo
Enumeration DateMarch 28, 2024
NPPES CertifiedMarch 28, 2024
NPI 1598516502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
123 HENDERSONVILLE RD, Asheville, NC 28803

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samuel Ryan Gordon Md 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.

Student in an Organized Health Care Education/Training Program
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Family Medicine
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Physician Assistant
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Counselor (Mental Health)
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Physician Assistant
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Counselor (Mental Health)
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Student in an Organized Health Care Education/Training Program
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Family Medicine (Sports Medicine)
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803

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 Samuel Gordon's NPI number?

The NPI number for Samuel Gordon is 1598516502. It was assigned to this individual provider in the NPPES registry on March 28, 2024.

Where is Samuel Gordon located?

Samuel Gordon practices at 123 Hendersonville Rd, Asheville, NC 28803. The listed phone number is (828) 407-2415.

What is Samuel 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 Samuel Gordon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samuel Gordon was last updated on March 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.