Active NPI
John M Gorlowski MD PC
- Pediatric Adolescent Medicine Physician
- Saint Marys, PA
National Provider Identifier
1043477946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- MD056208L
- Legal business name
- JOHN M GORLOWSKI MD PC
- Practice address
- 761 Johnsonburg Rd
Suite 360
Saint Marys, PA 15857-3483 - Phone
- (814) 781-8677
- NPI assigned
- May 19, 2008
- 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
- John M Gorlowski, MD
- Title
- Owner
- Phone
- (814) 781-8677
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | MD056208L | PA | Primary |
| Clinical Medical Laboratory | 291U00000X | 39D0909674 | PA |
Addresses
Primary practice location
761 Johnsonburg Rd
Suite 360
Saint Marys, PA 15857-3483
Mailing address
761 Johnsonburg Rd
Suite 360
Saint Marys, PA 15857-3483
Phone (814) 781-8677
Other names 1
- JOHN M GORLOWSKI MD
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Adolescent Medicine Physician
- St Marys, PA
- NPI 1740274729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211155200000",
"number": "1043477946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "761 JOHNSONBURG RD",
"address_2": "SUITE 360",
"city": "SAINT MARYS",
"state": "PA",
"postal_code": "158573483",
"telephone_number": "814-781-8677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 JOHNSONBURG RD",
"address_2": "SUITE 360",
"city": "SAINT MARYS",
"state": "PA",
"postal_code": "158573483",
"telephone_number": "814-781-8677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN M GORLOWSKI MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-19",
"last_updated": "2008-05-19",
"status": "A",
"authorized_official_last_name": "GORLOWSKI",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "814-781-8677",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Adolescent Medicine",
"state": "PA",
"license": "MD056208L",
"primary": true
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PA",
"license": "39D0909674",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "JOHN M GORLOWSKI MD",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Saint Marys, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.