Active NPI
Donald R Gore, MD
- Orthopaedic Surgery Physician
- Sheboygan, WI
National Provider Identifier
1366430050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 14045
- Practice address
- 2920 Superior Ave
Sheboygan, WI 53081-1944 - Phone
- (920) 458-3791
- Fax
- (920) 458-3783
- NPI assigned
- Oct 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 14045 | WI | Primary |
Addresses
Primary practice location
2920 Superior Ave
Sheboygan, WI 53081-1944
Mailing address
2920 Superior Ave
Sheboygan, WI 53081-1944
Phone (920) 458-3791
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31199200 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1366430050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 SUPERIOR AVE",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530811944",
"telephone_number": "920-458-3791",
"fax_number": "920-458-3783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 SUPERIOR AVE",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530811944",
"telephone_number": "920-458-3791",
"fax_number": "920-458-3783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORE",
"first_name": "DONALD",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WI",
"license": "14045",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31199200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.