Kenneth C Gorson, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

71107 Issued in MA

Practice address

110 Cedar St
Wellesley, MA 02481-3527

Phone

(781) 591-8300

Fax

(781) 591-8320

NPI assigned

Sep 16, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Neurology

Education

Albany Medical College of Union University, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1275528192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CEDAR ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024813527",
            "telephone_number": "781-591-8300",
            "fax_number": "781-591-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CEDAR ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024813527",
            "telephone_number": "781-591-8300",
            "fax_number": "781-591-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORSON",
        "first_name": "KENNETH",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "71107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3095894",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adrienne-Leigh Davis Gordon
• Ida P Gorenburg, M.D.
• Danielle E Gorman
• James R Gorman, M.D.
• Mary Ellen Gorman, RN CS MS
• Christine Ann Gosselin, APRN CS (RN PC)
• Deborah Waldorf Gotbetter, LICSW
• David Gottesman, PH.D.
• Kiley Gottschalk
• Robert S Gould, M.D.

• Neurology Physician in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Neurology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.