NPI 1205322302

Joshua Gordon, CAA

Practitioner Anesthesiologist Assistant Lafayette, IN

Practice location

Address: 5165 McCarty Ln, Lafayette, IN 47905-8764
Phone: (765) 448-8000
Fax: (765) 838-4758
Mailing address: 250 N Shadeland Ave, Indianapolis, IN 46219-4959

Registered specialties (3)

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 75000251A (IN)

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Registry record

NPI: 1205322302
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jul 2018
Record last updated: 14 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.