Active NPI
Ike B. Gorman DPM., PC
- Foot & Ankle Surgery Podiatrist
- Tucson, AZ
National Provider Identifier
1104095637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 301
- Legal business name
- IKE B. GORMAN DPM., PC
- Practice address
- 1500 N Wilmot Rd
Suite A230
Tucson, AZ 85712-4416 - Phone
- (520) 722-5115
- Fax
- (520) 722-0611
- NPI assigned
- Feb 28, 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
- Dr. Ike B Gorman, DPM
- Title
- Owner
- Phone
- (520) 722-5115
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 301 | AZ | Primary |
Addresses
Primary practice location
1500 N Wilmot Rd
Suite A230
Tucson, AZ 85712-4416
Mailing address
PO Box 69040
Tucson, AZ 85737-0009
Phone (520) 722-5115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 700981 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
1500 N Wilmot Rd
Ste A230
Tucson, AZ 85712
Phone (520) 722-5115
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Tucson, AZ
- NPI 1568431468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305590400000",
"number": "1104095637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 69040",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857370009",
"telephone_number": "520-722-5115",
"fax_number": "520-722-0611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 N WILMOT RD",
"address_2": "SUITE A230",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857124416",
"telephone_number": "520-722-5115",
"fax_number": "520-722-0611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IKE B. GORMAN DPM., PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-28",
"last_updated": "2011-05-17",
"status": "A",
"authorized_official_last_name": "GORMAN",
"authorized_official_first_name": "IKE",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "520-722-5115",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "AZ",
"license": "301",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "700981",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.