Active NPI
Paul L Gorsuch Jr., MD
- Neurological Surgery Physician
- Great Falls, MT
National Provider Identifier
1598834228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 6394
- Practice address
- 401 15TH Ave S
#101
Great Falls, MT 59405 - Phone
- (406) 761-3181
- Fax
- (406) 761-3192
- NPI assigned
- Nov 7, 2006
- Last updated
- Jun 3, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 6394 | MT | Primary |
| Neurological Surgery Physician | 207T00000X | 45187 | CA |
Addresses
Primary practice location
401 15TH Ave S
#101
Great Falls, MT 59405
Mailing address
401 15TH Ave S
#101
Great Falls, MT 59405
Phone (406) 761-3181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0079781 | Medicaid | MT |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45187 | CA | MD | Neurological Surgery Physician |
| 6394 | MT | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243987200000",
"number": "1598834228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 15TH AVE S",
"address_2": "#101",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "59405",
"telephone_number": "406-761-3181",
"fax_number": "406-761-3192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 15TH AVE S",
"address_2": "#101",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "59405",
"telephone_number": "406-761-3181",
"fax_number": "406-761-3192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORSUCH",
"first_name": "PAUL",
"middle_name": "L",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2009-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MT",
"license": "6394",
"primary": true
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "CA",
"license": "45187",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0079781",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.