Judith B Gorra, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

C10005754 Issued in DE

Practice address

18947 John J Williams Hwy
Suite 212
Rehoboth Beach, DE 19971-4476

Phone

(302) 645-8212

Fax

(302) 645-2199

NPI assigned

Jun 16, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1174528251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18947 JOHN J WILLIAMS HWY",
            "address_2": "SUITE 212",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714476",
            "telephone_number": "302-645-8212",
            "fax_number": "302-645-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18947 JOHN J WILLIAMS HWY",
            "address_2": "SUITE 212",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714476",
            "telephone_number": "302-645-8212",
            "fax_number": "302-645-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORRA",
        "first_name": "JUDITH",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "C10005754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy M Gideon, MD
• Melissa Ann Githinji
• Priyal Gohil, PA-C
• Elsa T Goldstein, M.D.
• Kelly Veronica Gordon, LCSW
• Grace Pesikey Inc.
• Julia Graham, DC
• Lori Guitson, LMT
• Melody Marie Haag
• Gerry Hadaway, M.S., M.AC.

• Pediatrics Physician in Rehoboth Beach, DE
• Providers in Rehoboth Beach, DE by specialty
• Pediatrics Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.