Individual provider Active NPI

Linda Marie Gorgos, MD

  • Internal Medicine Physician
  • Santa Fe, NM
National Provider Identifier
1124138540
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD2009-0535 Issued in NM
Practice address
649 Harkle Rd Ste E
Santa Fe, NM 87505-4765
Phone
(505) 989-8200
Fax
(505) 989-8131
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 46516 AZ
Internal Medicine Physician 207R00000X MD2009-0535 NM Primary

Addresses

Primary practice location

649 Harkle Rd Ste E
Santa Fe, NM 87505-4765

Mailing address

649 Harkle Rd
Ste E
Santa Fe, NM 87505-4765
Phone (520) 628-8287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS IHS Phoenix Area Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1124138540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 HARKLE RD",
            "address_2": "STE E",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054765",
            "telephone_number": "520-628-8287",
            "fax_number": "520-628-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 HARKLE RD STE E",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054765",
            "telephone_number": "505-989-8200",
            "fax_number": "505-989-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORGOS",
        "first_name": "LINDA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AZ",
            "license": "46516",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2009-0535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.