Individual provider Active NPI

Joel A Gorn, M.D.

  • Family Medicine Physician
  • Lawrence, MA
National Provider Identifier
1225143571
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
155025 Issued in MA
Practice address
101 Amesbury St
Suite 204
Lawrence, MA 01840-1323
Phone
(978) 688-1919
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 155025 MA Primary

Addresses

Primary practice location

101 Amesbury St
Suite 204
Lawrence, MA 01840-1323

Mailing address

101 Amesbury St
Suite 204
Lawrence, MA 01840-1323
Phone (978) 688-1919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20060130000886 MA Practitioner - Family Practice 1557304151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Rochester School of Medicine and Dentistry, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Lawrence Family Doctors LLCGroup PAC ID 6002859600, 2 clinicians

Practice addresses (Care Compare)

101 Amesbury St
Suite 204
Lawrence, MA 01840-1311
Phone (978) 688-1919

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
155025MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Family Doctors LLC Family Medicine CurrentSince Aug 23, 1999 Accepting new patients

Locations

101 Amesbury St
Ste 204
Lawrence, MA 01840
Phone (978) 688-1919

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/768/brand/1/csg/1/fhir/r4
  • Direct secure messaging: joel.gorn.1@768.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1225143571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 AMESBURY ST",
            "address_2": "SUITE 204",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401323",
            "telephone_number": "978-688-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AMESBURY ST",
            "address_2": "SUITE 204",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401323",
            "telephone_number": "978-688-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORN",
        "first_name": "JOEL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "155025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.