- Practice location
- 2800 S State Road 135 Ste 250, Greenwood, IN 46143-6223
- Phone
- 317-300-1788
- Fax
- 317-743-8103
- Last updated
- February 25, 2026
Shayna Lee Gordon is a Dermatology, MOHS-Micrographic Surgery based in Greenwood, IN. Shayna Lee Gordon practices in Greenwood, IN and has the professional credentials of MD. The NPI Number for Shayna Lee Gordon is 1679849780 and holds a License No. 01078403A (IN). The current practice location address for Shayna Lee Gordon is 2800 S State Road 135 Ste 250, Greenwood, IN 46143-6223 and can be reached out via phone at 317-300-1788 and via fax at 317-743-8103.
Provider Profile Details
- NPI Number
- 1679849780
- Provider Name
- Shayna Lee Gordon
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2800 S State Road 135 Ste 250, Greenwood, IN 46143-6223
- Phone Number
- 317-300-1788
- Fax Number
- 317-743-8103
- Primary Taxonomy
- Dermatology, MOHS-Micrographic Surgery · 207ND0101X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 23, 2012
- Last Update Date
- February 25, 2026
- Certification Date
- February 25, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2800 S State Road 135 Ste 250
Greenwood, IN 46143-6223 - City
- Greenwood
- State
- Indiana
- Zip
- 46143-6223
- Phone Number
- 317-300-1788
- Fax Number
- 317-743-8103
Provider Business Mailing Address Details
- Address
- 111 New Hampshire Ave Ste 2
Portsmouth, NH 03801-2864 - City
- Portsmouth
- State
- NH
- Zip
- 03801-2864
- Phone Number
- 330-947-6021
License Information
- License Number
- 01078403A
- License State
- IN
- Taxonomy
- Dermatology, MOHS-Micrographic Surgery · 207ND0101X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Shayna L Gordon, MD?
The NPI number of Dr. Shayna L Gordon, MD is 1679849780. It was assigned on March 23, 2012 and is currently active in the NPPES registry.
What is the specialty of Dr. Shayna L Gordon, MD?
Dr. Shayna L Gordon, MD is registered under the primary taxonomy Dermatology, MOHS-Micrographic Surgery (code 207ND0101X), licensed in IN under license number 01078403A.
Where does Dr. Shayna L Gordon, MD practice?
The practice location is 2800 S State Road 135 Ste 250, Greenwood, IN 46143-6223. The office can be reached at 317-300-1788 (phone) or 317-743-8103 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679849780 directly on the NPPES registry website.