William Gore, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

101955 Issued in NC

Practice address

1509 Doctors Cir
BLDG C
Wilmington, NC 28401-7403

Phone

(910) 662-7500

NPI assigned

Oct 10, 2005

Last updated

Sep 25, 2020By the provider in NPPES

Sex

Male

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 NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Masonboro Urgent Care, PC

  • Family Medicine Physician
  • Wilmington, NC
  • NPI 1427389865
  Medicare reassignment
• Delco Urgent Care LLC

  • Family Medicine Physician
  • Delco, NC
  • NPI 1154354942
  NPD (past) Authorized official
• Assistedcare, Inc

  • Home Health Agency
  • Leland, NC
  • NPI 1821193103
  NPD (past)
• Bluewater Surgical, PLLC

  • Surgery Physician
  • Wilmington, NC
  • NPI 1235895137
  NPD (past)
• Miles Surgical PLLC

  • Surgery Physician
  • Wilmington, NC
  • NPI 1033229687
  NPD (past)

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1235127655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 DOCTORS CIR",
            "address_2": "BLDG C",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017403",
            "telephone_number": "910-662-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Doctors Cir",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017403",
            "country_code": "US",
            "telephone_number": "910-662-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1333 S Dickinson Dr",
            "address_2": "Unit 230",
            "address_purpose": "LOCATION",
            "city": "Leland",
            "state": "NC",
            "postal_code": "284516430",
            "country_code": "US",
            "telephone_number": "910-662-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1960 S 16th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284016676",
            "country_code": "US",
            "telephone_number": "910-662-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORE",
        "first_name": "WILLIAM",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Anne Gordon, PT
• Sarah Makenzie Gordon, DO
• Candice Yvonne Gore, LCAS
• Jasmin Gore
• Sallie Gore
• Sudie Brown Gorges
• Robert Gorlach, LCSW
• Goshen Medical Center Incorporated (Goshen Medical Center - Wilmington)
• Goshen Medical Center Incorporated (Pelican Family Medicine - Wrightsville Ave)
• Goshen Medical Center Incorporated (Pelican Family Medicine - Carolina Beach)

• Physician Assistant in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.