Peter N Gorlin, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

38636 Issued in MA

Practice address

2033 Main St
Athol, MA 01331-3535

Phone

(978) 249-1250

NPI assigned

Nov 2, 2006

Last updated

Mar 8, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Saint Vincent Physician Services, Inc.

  • Family Medicine Physician
  • Worcester, MA
  • NPI 1013997329
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362700800000",
    "number": "1023197035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 MAIN ST",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "013313535",
            "telephone_number": "978-249-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 MAIN ST",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "013313535",
            "telephone_number": "978-249-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORLIN",
        "first_name": "PETER",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2013-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "38636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2073749",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH",
            "identifier": "730474",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mina Girouard
• Verne Michael Goldsher, DDS
• Tammy Lynn Goodgion
• Brian Gordon
• Charlene Goren, LMHC
• John A Gostan, PH.D.
• Diane E Grasso, NP
• Honnah Alyssa Griffith
• Nicole Guertin, LICSW
• John Joseph Gurman, MA

• Emergency Medicine Physician in Athol, MA
• Providers in Athol, MA by specialty
• Emergency Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.