Debra S Gorin MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

M-9459 Issued in ID

Legal business name

DEBRA S GORIN MD PC

Practice address

1361 Cambridge Dr
Idaho Falls, ID 83401-4208

Phone

(208) 535-8549

Fax

(208) 528-8109

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Debra S Gorin, MD PC

Title

Owner

Phone

(208) 535-8549

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083724215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 CAMBRIDGE DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014208",
            "telephone_number": "208-535-8549",
            "fax_number": "208-528-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 CAMBRIDGE DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014208",
            "telephone_number": "208-535-8549",
            "fax_number": "208-528-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA S GORIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GORIN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-535-8549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ID",
            "license": "M-9459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Psychiatry Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.