Individual
SHAWN R GORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
56 MARIE LANGDON DR, MANCHESTER, KY 40962-6329
(606) 599-4080
(606) 598-1688
Mailing address
509 MEMORIAL DR STE 2, MANCHESTER, KY 40962-6196
(606) 598-5104
(606) 598-0983
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
39057
KY
207V00000X
Obstetrics & Gynecology Physician
Primary
39057
KY
207V00000X
Obstetrics & Gynecology Physician
L3666
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11356327
CAQH ID
—
05
—
215019501
—
TX
05
—
2552545
—
OH
05
—
64091820
—
KY
Enumeration date
09/27/2006
Last updated
08/19/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us