NPIMap

Organization Active NPI

Gorman Medical LLC

  • Adult Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1588089718
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
10199 Issued in CO
Legal business name
GORMAN MEDICAL LLC
Practice address
8540 Scarborough Dr Ste 370
Colorado Springs, CO 80920-7519
Phone
(719) 358-8270
Fax
(719) 358-8299
NPI assigned
Feb 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Authorized official

Name
Frances J GormanNPI 1558682666
Title
Owner / Provider
Phone
(719) 313-6028

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X 10199 CO Primary

Addresses

Primary practice location

8540 Scarborough Dr Ste 370
Colorado Springs, CO 80920-7519

Mailing address

PO Box 62669
Colorado Springs, CO 80962-2669
Phone (719) 219-2400

Other practice location 1

412 N C St
Cripple Creek, CO 80813-5052
Phone (719) 358-8270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141114001691 CO Part B Supplier - Clinic/Group Practice 1557583135 Receives reassigned benefits from 10 practitioners
Practice locations: Colorado Springs, CO; Cripple Creek, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2080573Gorman Medical, LLC8540 Scarborough Dr, Suite 370, Colorado Springs, CO 80920ComplianceApr 6, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1588089718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62669",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809622669",
            "telephone_number": "719-219-2400",
            "fax_number": "719-219-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 SCARBOROUGH DR STE 370",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207519",
            "telephone_number": "719-358-8270",
            "fax_number": "719-358-8299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 N C St",
            "address_purpose": "LOCATION",
            "city": "Cripple Creek",
            "state": "CO",
            "postal_code": "808135052",
            "country_code": "US",
            "telephone_number": "719-358-8270",
            "fax_number": "719-358-8299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GORMAN MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2023-10-20",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "719-313-6028"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "10199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.