Gordley Plastic Surgery PA
NPI 1083885891ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· Shenandoah, TX
Surgery, Plastic and Reconstructive Surgery in Shenandoah, Texas, registered in NPPES in March 2008. The authorized official on file is Kyle Patrick Gordley, M.D., M.D./Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1083885891 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 19, 2008 |
| Last updated in NPPES | Aug 11, 2020 |
| Certified by provider | Aug 11, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Plastic and Reconstructive Surgery Primary | 2086S0122X | M7222 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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