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SHYLA GORDON PA
NPI 1972270114
Physician Assistant - Surgical in Dallas, TX

Active since August 25, 2021PECOS Enrolled
12200 PARK CENTRAL DR STE 400, DALLAS, TX 75251(930) 021-4483 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 8, 2023, Sep 8, 2021, Aug 25, 2021 (3 updates tracked since 2021).

About Shyla Gordon Pa NPPES

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

SHYLA GORDON PA (NPI 1972270114) is an individual surgical provider in Dallas, Texas and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1972270114
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSHYLA GORDONCredential: PA
Location Address12200 PARK CENTRAL DR STE 400Dallas, TX 75251-2116
Mailing Address7545 E Nortwest Hwy, Apt 341Dallas, TX 75238-7484
Phone(930) 021-4483
Sole ProprietorNo
Enumeration DateAugust 25, 2021
Last NPPES UpdateMarch 8, 20233 updates tracked since enumeration
NPPES CertifiedMarch 6, 2023
✔ NPI 1972270114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
12200 PARK CENTRAL DR STE 400, Dallas, TX 75251
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Secondary Practice Location 1

Location 15415 Maple Ave Apt 110Dallas, TX 75235-7484 · Phone (337) 485-1975

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shyla Gordon Pa 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 14

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

DR. JOHN L. LANOUE M.D.
Surgery (Pediatric Surgery)
12200 PARK CENTRAL DR STE 400
DALLAS, TX 75251
Dallas County (214) 483-9300
JAY S. RODEN M.D.
Surgery (Pediatric Surgery)
12200 PARK CENTRAL DR STE 400
DALLAS, TX 75251
Dallas County (214) 483-9300
DAVID THOMAS SCHINDEL MD
Surgery (Pediatric Surgery)
12200 PARK CENTRAL DR STE 400
DALLAS, TX 75251
Dallas County (214) 483-9300
ANSLEY BENSON PA
Physician Assistant
12200 PARK CENTRAL DR STE 400
DALLAS, TX 75251
Dallas County (214) 483-9300
DEVYN LANE PA-C
Physician Assistant (Surgical)
12200 PARK CENTRAL DR STE 400
DALLAS, TX 75251
Dallas County (214) 483-9300
EMMA LOVE TRASK
Physician Assistant
12200 PARK CENTRAL DR STE 400
DALLAS, TX 75251
Dallas County (214) 483-9300
DR. KEVIN M. KADESKY M.D.
Surgery (Pediatric Surgery)
12200 PARK CENTRAL DR STE 400
DALLAS, TX 75251
Dallas County (214) 483-9300
HALLIE QUIROZ M.D.
Surgery (Pediatric Surgery)
12200 PARK CENTRAL DR STE 400
DALLAS, TX 75251
Dallas County (214) 483-9300

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 Shyla Gordon's NPI number?

The NPI number for Shyla Gordon is 1972270114. It was assigned to this individual provider in the NPPES registry on August 25, 2021.

Where is Shyla Gordon located?

Shyla Gordon practices at 12200 Park Central Dr Ste 400, Dallas, TX 75251. The listed phone number is (930) 021-4483.

What is Shyla Gordon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Shyla Gordon enrolled in Medicare?

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

What insurance does Shyla Gordon accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Shyla Gordon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shyla Gordon was last updated on March 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.