Active NPI
KL Goring LLC
- Sleep Medicine (Internal Medicine) Physician
- Prince Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- 56571
- Legal business name
- KL GORING LLC
- Practice address
- 995 Prince Frederick Blvd Ste 101
Prince Frederick, MD 20678-3199 - Phone
- (410) 414-6550
- Fax
- (443) 968-9205
- NPI assigned
- Jun 18, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kim Lesley Goring, MD
- Title
- Owner
- Phone
- (240) 223-7308
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 56571 | MD | Primary |
Addresses
Primary practice location
995 Prince Frederick Blvd Ste 101
Prince Frederick, MD 20678-3199
Mailing address
9962 Cypress Way
Laurel, MD 20723-6021
Phone (240) 223-7308
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265404883 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
995 Prince Frederick Blvd
Ste 10
Prince Frederick, MD 20678
995 Prince Frederick Blvd
Prince Frederick, MD 20678
995 Prince Frederick Blvd
Ste 101
Prnc Frederck, MD 20678
Phone (410) 414-6185
995 Prince Frederick Blvd
Slp Ctr
Prnc Frederck, MD 20678
Phone (410) 414-6185
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Critical Care Medicine (Internal Medicine) Physician
- Germantown, MD
- NPI 1265404883
Multi-Specialty
-
- Family Medicine Physician
- Annapolis, MD
- NPI 1689707283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1497744000000",
"number": "1003346404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9962 CYPRESS WAY",
"city": "LAUREL",
"state": "MD",
"postal_code": "207236021",
"telephone_number": "240-223-7308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "995 PRINCE FREDERICK BLVD STE 101",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206783199",
"telephone_number": "410-414-6550",
"fax_number": "443-968-9205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KL GORING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-18",
"last_updated": "2017-06-18",
"status": "A",
"authorized_official_last_name": "GORING",
"authorized_official_first_name": "KIM",
"authorized_official_middle_name": "LESLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "240-223-7308",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": "MD",
"license": "56571",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1265404883",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prince Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.