John J Gorman, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4304077817 Issued in MI

Practice address

3643 W Front St
Suite C
Traverse City, MI 49684-7759

Phone

(231) 935-0614

Fax

(231) 935-0832

NPI assigned

Aug 19, 2005

Last updated

Dec 18, 2020By the provider in NPPES

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 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Internal MedicineAlso: Pediatric Medicine

Education

Michigan State University College of Human Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Munson Medical GroupGroup PAC ID 8820277015, 191 clinicians

Northern Michigan Medicine and Pediatrics PLLCGroup PAC ID 0345218392, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Munson Medical Center Hospital, Traverse City, MI, CCN 230097
• Paul Oliver Memorial Hospital Hospital, Frankfort, MI, CCN 231300

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Munson Medical Group

  dba Traverse Heart and Vascular

  • Cardiovascular Disease Physician
  • Traverse City, MI
  • NPI 1821398322
  Medicare reassignment Care Compare group NPD
• Northern Michigan Medicine and Pediatrics, PLLC

  • Pediatrics Physician
  • Traverse City, MI
  • NPI 1528168895
  Medicare reassignment Care Compare group
• Munson Medical Center

  dba Endocrinology and Metabolism

  • Endocrinology, Diabetes & Metabolism Physician
  • Traverse City, MI
  • NPI 1083761860
  Medicare reassignment NPD
• Munson Medical Center

  • Hematology & Oncology Physician
  • Traverse City, MI
  • NPI 1023372687
  NPD
• Munson Medical Center

  • Psychiatric Hospital Unit
  • Traverse City, MI
  • NPI 1891586103
  NPD
• Munson Medical Group

  dba MHC Cedarwoods Internal Medicine and Geriatrics

  • Geriatric Medicine (Internal Medicine) Physician
  • Traverse City, MI
  • NPI 1326801440
  NPD
• Munson Medical Group

  dba Munson Family Practice Residency

  • Family Medicine Physician
  • Traverse City, MI
  • NPI 1861047060
  NPD
• Indigo Services, PLC

  • Hospitalist Physician
  • Traverse City, MI
  • NPI 1790769669

  Internal Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Munson Medical Center

  • General Acute Care Hospital
  • Traverse City, MI
  • NPI 1952307852
  Care Compare affiliation
• Paul Oliver Memorial Hospital

  • Critical Access Hospital
  • Frankfort, MI
  • NPI 1427054360
  Care Compare affiliation

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1487646923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3643 W FRONT ST",
            "address_2": "SUITE C",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847759",
            "telephone_number": "231-935-0614",
            "fax_number": "231-935-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3643 W FRONT ST",
            "address_2": "SUITE C",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847759",
            "telephone_number": "231-935-0614",
            "fax_number": "231-935-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4304077817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104728394",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.gorman@NMMP.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3643 W Front St",
            "address_2": "Suite C",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496847759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeffrey D Goodwin, M.DIV, M.A., LLPC
• Zachary Peter Goral, D.O.
• David S Gordon, MD
• Clinton K. Gore, DDS
• Andrew Charles Gorecki, P.T.
• Katherine A Gorman, D.C.
• Terry Gorton
• Margaret Anne Goss, M.A. CCC-SLP
• Linda Gossett, MD
• Laura Joan Gottfried, MD

• Internal Medicine Physician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.