Gordon J. Gornbein, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD13026 Issued in OR

Practice address

4484 N Placita Coahuila
Suite 700
Tucson, AZ 85749-6107

Phone

(503) 310-8622

NPI assigned

Feb 28, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416096000000",
    "number": "1265409114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4484 N PLACITA COAHUILA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857496107",
            "telephone_number": "503-310-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4484 N PLACITA COAHUILA",
            "address_2": "SUITE 700",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857496107",
            "telephone_number": "503-310-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORNBEIN",
        "first_name": "GORDON",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2014-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OR",
            "license": "MD13026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "050003045",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022343",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1048024",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Gorman
• Lourdes G Gorman, DC
• Mark D Gorman, CCP
• Michal Gorman, LPC
• Gormans Assisted Living
• David A Gortner, MD
• Kaoru Ruth Goshima
• Mehrban Goshtaseb Pour Parsi, DO
• Anita Judith Goss, NP PHD
• Ellen Crystal Goss, FNP

• Anesthesiology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Anesthesiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.