Active NPI
Lisa Gorn, D.O.
- Endocrinology, Diabetes & Metabolism Physician
- San Antonio, TX
National Provider Identifier
1609086164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- N3687
- Practice address
- 8300 Floyd Curl Dr FL 3
San Antonio, TX 78229-3931 - Phone
- (210) 450-9050
- NPI assigned
- May 23, 2007
- Last updated
- Mar 17, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | N3687 | TX | |
| Internal Medicine Physician | 207R00000X | OS9820 | FL | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 20A14618 | CA | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | N3687 | TX | Primary |
Addresses
Primary practice location
8300 Floyd Curl Dr FL 3
San Antonio, TX 78229-3931
Mailing address
7703 Floyd Curl Dr
San Antonio, TX 78229-3901
Phone (210) 450-9050
Other practice location 1
1140 N Indian Canyon Dr
Suite 100
Palm Springs, CA 92262-4872
Phone (760) 323-6881
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 341962403 | Other | TX | CSHCN |
| 341962402 | Medicaid | TX |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS9820 | FL | MD | Internal Medicine Physician |
| N3687 | TX | MD | Internal Medicine Physician |
| 20A14618 | CA | MD | Endocrinology, Diabetes & Metabolism Physician |
| 14618 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin S Cohen Mdpa | Endocrinology, Diabetes & Metabolism | 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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Miami, FL
- NPI 1487862850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1609086164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7703 FLOYD CURL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293901",
"telephone_number": "210-450-9050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8300 FLOYD CURL DR FL 3",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293931",
"telephone_number": "210-450-9050"
}
],
"practiceLocations": [
{
"address_1": "1140 N Indian Canyon Dr",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Palm Springs",
"state": "CA",
"postal_code": "922624872",
"country_code": "US",
"telephone_number": "760-323-6881",
"fax_number": "760-323-6537",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORN",
"first_name": "LISA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "N3687",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS9820",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "CA",
"license": "20A14618",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "TX",
"license": "N3687",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "341962403",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "341962402",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.