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Active NPI 1710747001 Individual Practitioner Male Practitioner

Samuel Gordon

Speech-Language Pathologist • Waconia, MN

Professional Overview & Biography Verified Profile Summary

Samuel Gordon is a certified Speech-Language Pathologist practicing in Waconia, MN. With approximately 5 years of clinical experience since completing medical education in 2021, Samuel Gordon delivers high-quality medical care to the local community at 9346 OAK AVE.

Samuel Gordon does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

9346 Oak Ave

Waconia, MN 553879422

Telephone 9524425812
Associated Practice Facility / Clinic
🏢 Sunnydays Therapy Inc Facility NPI 1891914412

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Waconia, MN

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs +0.5 yrs vs City Avg
City Avg: 4.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
74 Specialists

Practicing in Waconia, MN (3097 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gordon (5 Years) 5 Yrs
Waconia Specialty Average (4.5 Years) 4.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-06-02
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Secondary Practice Locations

9375 Fenning Ave Ne

Monticello, MN 553628569

Phone: 7632722970

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Nora Lind

Occupational Therapist

NPI 1003544925
Carli Halldorson

Speech-Language Pathologist

NPI 1013691286
Kirstin Peters , MS, OTR, L

Occupational Therapist

NPI 1023623790

Master of Science, Occupational Therapist Registered, L

Ann Landreville

Occupational Therapist

NPI 1023832722
Lindsay Meekin

Occupational Therapist

NPI 1043197601
Nicholas Feige

Occupational Therapist

NPI 1043719735

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address June 02, 2026

Registered at 1243 EDMONSON AVE NE APT 309, MONTICELLO, MN 553625509 (Tel: 9199396303)

📍
Updated Practice Location June 09, 2025

Registered at 9346 OAK AVE, WACONIA, MN 553879422 (Tel: 9524425812)

NPI Profile Active March 21, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location March 21, 2024

Registered at 230 CHURCH AVE, ALBANY, MN 563079489 (Tel: 3208452195)

📍
Updated Business Mailing Address March 21, 2024

Registered at 307 E 7TH ST APT 205, MONTICELLO, MN 553628049 (Tel: 9199396303)

👤
Provider Name / Credentials Updated March 21, 2024

Recorded as SAMUEL GORDON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2024

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration March 21, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710747001
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2024
Last Update: June 02, 2026
Sole Proprietor: No

Mailing Address

1243 Edmonson Ave Ne Apt 309

Monticello, MN 553625509

Phone: 9199396303

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.