Samuel Gordon
NPI 1710747001 · Speech-Language Pathologist · Waconia, MN
Enrolled with Medicare as Practitioner - Qualified Speech Language Pathologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samuel Gordon is a Speech-Language Pathologist provider in Waconia, MN (NPI 1710747001).
Provider details
- NPI number
- 1710747001
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 9375 Fenning Ave NeMonticello, MN 55362-8569Phone: (763) 272-2970
Registry dates
- Enumerated
- 2024-03-21
- Last updated
- 2026-06-02
- Certified
- 2026-06-02
Frequently asked questions
- What is Samuel Gordon's NPI number?
- Samuel Gordon's National Provider Identifier (NPI) is 1710747001, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Gordon's specialty?
- Samuel Gordon is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Samuel Gordon located?
- Samuel Gordon's practice location on file with NPPES is 9346 Oak Ave, Waconia, MN 55387-9422.
- What is Samuel Gordon's phone number?
- The practice phone number listed in the NPPES registry for Samuel Gordon is (952) 442-5812.
- Does Samuel Gordon accept Medicare?
- Samuel Gordon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samuel Gordon's NPI active?
- Yes — Samuel Gordon's NPI (1710747001) is active in the NPPES registry as of the last update on 2026-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.