Individual provider Active NPI

Gorman Joel Reynolds, M.D.

  • Gastroenterology Physician
  • Morgantown, WV
National Provider Identifier
1184750325
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
22684 Issued in WV
Practice address
1000 Mon Health Medical Park Dr Ste 1101
Morgantown, WV 26505-1143
Phone
(304) 598-2700
Fax
(304) 598-2725
NPI assigned
Feb 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD596230 PA
Gastroenterology Physician 207RG0100X 35.135080 OH
Gastroenterology Physician 207RG0100X 15469-320 WI
Gastroenterology Physician 207RG0100X 22684 WV Primary
Gastroenterology Physician 207RG0100X 38707 KY

Addresses

Primary practice location

1000 Mon Health Medical Park Dr Ste 1101
Morgantown, WV 26505-1143

Mailing address

2710 Executive Dr
Green Bay, WI 54304-5496

Other practice location 1

90 Medical Park Dr Ste 1000
Lewisburg, PA 17837-6343
Phone (570) 524-2722

Other practice location 2

1860 Shawano Ave
Green Bay, WI 54303-2667
Phone (920) 496-4700

Other identifiers 2

IdentifierTypeStateIssuer
0065126MedicaidOH
3810008998MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070614000178 WV Practitioner - GastroenterologyPractitioner - Internal Medicine 2567560584 Reassigns benefits to 1 organization
I20250923002718 MD Practitioner - Gastroenterology 2567560584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Kentucky School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians

Practice addresses (Care Compare)

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy58
Upper gastrointestinal (GI) endoscopy for acid reflux90

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38707KYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Western Maryland Health Services, LLC Current Accepting new patients
THS Physician Partners Inc Gastroenterology CurrentSince Sep 13, 2024 Accepting new patients
Upmc Western Maryland Health Services, LLC CurrentSince Sep 1, 2025 Accepting new patients
Upmc Western Maryland Health Services, LLC Gastroenterology CurrentSince Sep 1, 2025 Accepting new patients

Locations

12501 Willowbrook Rd
Fl 3
Cumberland, MD 21502
Phone (240) 964-8515

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

L3539
Columbus, OH 43260
Phone (304) 414-4800

4607 Maccorkle Ave SW
Ste 406
South Charleston, WV 25309
Phone (304) 766-4342

401 Division St
Ste 205
South Charleston, WV 25309
Phone (304) 342-0821

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1184750325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 EXECUTIVE DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045496",
            "fax_number": "304-598-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MON HEALTH MEDICAL PARK DR STE 1101",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051143",
            "telephone_number": "304-598-2700",
            "fax_number": "304-598-2725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Medical Park Dr Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178376343",
            "country_code": "US",
            "telephone_number": "570-524-2722",
            "fax_number": "570-768-3921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1860 Shawano Ave",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543032667",
            "country_code": "US",
            "telephone_number": "920-496-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "GORMAN",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-24",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD596230",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35.135080",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WI",
            "license": "15469-320",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WV",
            "license": "22684",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KY",
            "license": "38707",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0065126",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810008998",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.