NPI 1679849780

Shayna Lee Gordon, MD

Practitioner MOHS-Micrographic Surgery Physician Greenwood, IN

Practice location

Address: 2800 S State Road 135 STE 250, Greenwood, IN 46143-6223
Phone: (317) 300-1788
Fax: (317) 743-8103
Mailing address: 111 New Hampshire Ave STE 2, Portsmouth, NH 03801-2864

Registered specialties

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 01078403A (IN)

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Registry record

NPI: 1679849780
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Mar 2012
Record last updated: 25 Feb 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.