Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael James Gdovin

Individual provider Surgical Physician Assistant · NPI 1497404420

Michael James Gdovin is a Physician Assistant in Waco, Texas. Qualified in 2023, 3 years ago. Practices with Hillcrest Physician Services, a 113-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2022
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Practice location Address checks out

100 Hillcrest Medical Blvd
Waco, TX 76712-8897
Phone: (254) 202-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3200 South University Drive, Fort Lauderdale, FL 33328 — (954) 262-1250

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA17324 (TX)

Record details

NPI number1497404420
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 18, 2022
Last updated in NPPESMarch 13, 2024
Certification dateMarch 13, 2024
Mailing addressPo Box 844658, Dallas, TX 75284-4658

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Hillcrest Physician Services — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Waco