Active NPI
Lorna Ann Gober, M.D.
- Family Medicine Physician
- Bellingham, WA
National Provider Identifier
1598864068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00039064
- Practice address
- 3130 Squalicum Pkwy
Suite 100
Bellingham, WA 98225-1940 - Phone
- (360) 756-0382
- Fax
- (360) 756-5184
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00039064 | WA | Primary |
Addresses
Primary practice location
3130 Squalicum Pkwy
Suite 100
Bellingham, WA 98225-1940
Mailing address
709 W Orchard Dr
Suite #4
Bellingham, WA 98225-1766
Phone (360) 318-8800
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007GO | Other | WA | REGENCE |
| G8883758 | Other | WA | MEDICARE PTAN |
| 8547275 | Medicaid | WA | |
| 0251096 | Other | WA | DEPT. OF LABOR AND INDUSTRIES |
| 9765341 | Other | WA | AETNA |
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 |
|---|---|---|---|
| MD00039064 | WA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343088000000",
"number": "1598864068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 W ORCHARD DR",
"address_2": "SUITE #4",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982251766",
"telephone_number": "360-318-8800",
"fax_number": "360-318-1085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 SQUALICUM PKWY",
"address_2": "SUITE 100",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982251940",
"telephone_number": "360-756-0382",
"fax_number": "360-756-5184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOBER",
"first_name": "LORNA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2012-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00039064",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "1007GO",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "G8883758",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8547275",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF LABOR AND INDUSTRIES",
"identifier": "0251096",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9765341",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.