NPIMap

Individual provider Active NPI

Ronald B O'Gorman, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Mobile, AL
National Provider Identifier
1255489779
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
13943 Issued in AL
Practice address
861 Hillcrest Rd
Mobile, AL 36695-3909
Phone
(251) 410-8346
Fax
(251) 410-8347
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 13943 AL
Emergency Medicine Physician 207P00000X 13943 AL
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 13943 AL Primary

Addresses

Primary practice location

861 Hillcrest Rd
Mobile, AL 36695-3909

Mailing address

861 Hillcrest Rd
Mobile, AL 36695
Phone (251) 410-8346

Other practice location 1

1815 Hand Ave
Bay Minette, AL 36507-4110
Phone (251) 435-1330

Other identifiers 6

IdentifierTypeStateIssuer
0018783MedicaidMS
000019747MedicaidAL
3710050OtherALUHC
409485OtherALAETNA
910198500MedicaidFL
C71741OtherALHEALTHSPRINGS OF AL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130502000330 AL Practitioner - Thoracic SurgeryPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Vascular SurgeryPractitioner - Cardiac SurgeryPractitioner - Emergency Medicine 8628215050 Reassigns benefits to 5 organizations
Practice locations: Mobile, AL

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery, Emergency Medicine, Vascular Surgery
Education
Baylor College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transitional Care LLCGroup PAC ID 6709146285, 14 clinicians
City of Jackson Healthcare AuthorityGroup PAC ID 2062950199, 16 clinicians

Practice addresses (Care Compare)

1725 Spring Hill Ave
Mobile, AL 36604-1402
Phone (251) 435-1367

220 Hospital Dr
Jackson, AL 36545-2459
Phone (251) 246-1159

Hospital & facility affiliations

  • Vitas Healthcare of Dothan Hospice, Dothan, AL, CCN 011577
  • Jackson Medical Center Hospital, Jackson, AL, CCN 010128
  • Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113
  • Kensington Health and Rehabilitation Nursing home, Mobile, AL, CCN 015429
  • Camellia Health and Rehabilitation Center Nursing home, Mobile, AL, CCN 015151
  • Ashland Place Health and Rehabilitation, LLC Nursing home, Mobile, AL, CCN 015103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13943ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
WH Services Atmore LLC Emergency Medicine CurrentSince Nov 9, 2024 Accepting new patients
Alabama Medical Group, PC Current Accepting new patients
WH Services Brewton LLC Emergency Medicine CurrentSince Nov 9, 2024 Accepting new patients
Transitional Care LLC CurrentSince Oct 1, 2024 Accepting new patients
Imc-Emergency Physicians LLC Emergency Medicine CurrentSince Dec 1, 2018 Accepting new patients
City of Jackson Healthcare Authority CurrentSince Feb 26, 2025 Accepting new patients
Arabella Health & Wellness of Mobile Opco LLC PastSince Apr 1, 2025 Accepting new patients
Ashland Place Health and Rehabilitation, LLC Past Accepting new patients
Congress Street Partners, L.P. Past Accepting new patients

Locations

401 S 8th Ave
Atmore, AL 36502
Phone (251) 368-2500

1815 Hand Ave
Bay Minette, AL 36507
Phone (251) 279-1553

1301 Belleville Ave
Brewton, AL 36426
Phone (251) 809-8439

220 Hospital Dr
Jackson, AL 36545
Phone (251) 246-1159

5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415

1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366

Networks

  • bcbs alabama network 01H0
  • bcbs alabama network 01G0
  • bcbs alabama network 01A0
  • bcbs alabama network 01B0
  • bcbs alabama network 01E0

Interoperability endpoints

  • Direct secure messaging: ronaldogorman@amgmd.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Arabella Health & Wellness of MobileMobile, AL, CCN 015151 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2025
Apr 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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 6

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1255489779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 HILLCREST RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36695",
            "telephone_number": "251-410-8346",
            "fax_number": "251-410-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 HILLCREST RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366953909",
            "telephone_number": "251-410-8346",
            "fax_number": "251-410-8347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1815 Hand Ave",
            "address_purpose": "LOCATION",
            "city": "Bay Minette",
            "state": "AL",
            "postal_code": "365074110",
            "country_code": "US",
            "telephone_number": "251-435-1330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'GORMAN",
        "first_name": "RONALD",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "13943",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "13943",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AL",
            "license": "13943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018783",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000019747",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "3710050",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "409485",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "910198500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRINGS OF AL",
            "identifier": "C71741",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.