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

Mikayla Van Gorder, PA

Individual provider Medical Physician Assistant · NPI 1326705633

Mikayla Van Gorder, PA is a Medical Physician Assistant in Fulton, New York. Works from 3 locations. Licensed in New York.

Licensed in
NY
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

510 S 4th St Ste 600
Fulton, NY 13069-2952
Phone: (315) 598-4790
Fax: (315) 593-6195
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7 Bridge St, Phoenix, NY 13135-1906 — (315) 695-4700
  • 61 Delano St, Pulaski, NY 13142-1400 — (315) 298-6569

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 027732 (NY)

Record details

NPI number1326705633
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 22, 2021
Last updated in NPPESMay 6, 2024
Certification dateMay 6, 2024

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