NPIMap

Individual provider Active NPI

Maria Antonia Gorgan, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Springfield, MA
National Provider Identifier
1477716355
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
258945 Issued in MA
Practice address
299 Carew St
Springfield, MA 01104-2301
Phone
(413) 748-9779
NPI assigned
Jul 9, 2008
Last updated
Jul 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Pathology) Physician 207ZH0000X 258945 MA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 258945 MA Primary

Addresses

Primary practice location

299 Carew St
Springfield, MA 01104-2301

Mailing address

PO Box 789
Ludlow, MA 01056-0789
Phone (413) 509-1000

Other names 1

  • Maria Antonia Cos Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140812002156 MA Practitioner - Pathology 8921225137 Reassigns benefits to 1 organization
I20190205002649 CT Practitioner - Pathology 8921225137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-4280

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Care Medical Group, PC Anatomic Pathology & Clinical Pathology CurrentSince Jan 3, 2019 Accepting new patients
Saint Francis Care Medical Group, P.C. Anatomic Pathology & Clinical Pathology Current Accepting new patients
Trinity Health of New England Provider Network Organization Inc Past Accepting new patients

Locations

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1477716355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 789",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010560789",
            "telephone_number": "413-509-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 CAREW ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042301",
            "telephone_number": "413-748-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORGAN",
        "first_name": "MARIA",
        "middle_name": "ANTONIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "MA",
            "license": "258945",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MA",
            "license": "258945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "COS",
            "middle_name": "ANTONIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.