Kelly S Gorman, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2014008958 Issued in MO

Practice address

1030 McIntosh Cir
Ste 1
Joplin, MO 64804-3614

Phone

(417) 347-8750

Fax

(417) 347-8788

NPI assigned

Jun 9, 2008

Last updated

Jul 28, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kelly S Sweeney Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kelly.gorman.1@20184.direct.athenahealth.com

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.

• Freeman-Oak Hill Health System

  dba Health Essentials

  • Oxygen Equipment & Supplies (DME)
  • Neosho, MO
  • NPI 1063477800
  NPD (past)
• Freeman-Oak Hill Health System

  dba Freeman Health System

  • General Acute Care Hospital
  • Joplin, MO
  • NPI 1265546048
  NPD (past)
• Freeman-Oak Hill Health System

  dba Freeman Physician Group

  • Multi-Specialty Clinic/Center
  • Joplin, MO
  • NPI 1679517023

  Pediatrics

  NPD (past)
• Panhandle Emergency Physicians a Div of Sacred Heart Hosp Pensacola

  dba Panhandle Emergency Physicians

  • Emergency Medicine Physician
  • Pensacola, FL
  • NPI 1215948096
  NPD (past)
• The Healthcaring Clinic of Florida, LLC

  • Family Nurse Practitioner
  • Orange City, FL
  • NPI 1003914441
  NPD (past)

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1285893891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3810",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648033810",
            "telephone_number": "417-347-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 MCINTOSH CIR",
            "address_2": "STE 1",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043614",
            "telephone_number": "417-347-8750",
            "fax_number": "417-347-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "KELLY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "TRN8725",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2014008958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "SWEENEY",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Oscar H Gonzalez, M.D.
• Valerie Goodale, FNP-BC, PMHNP-BC
• Andrew Lee Gooden, CRNA
• April D Gordon
• Brendan Thomas Gorman, DO
• Francine Lea Gory, M.A. CCC-SLP, CBIS
• Brandy Gotti
• GPS Adc of Joplin and Dr. John Durling II, DDS, LLC (ADC Dental Group)
• Guy Michael Grabau, MD
• Gracie Chase Avery, LLC (4States Vision Express)

• Pediatrics Physician in Joplin, MO
• Providers in Joplin, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.