Stanley A Gorgol, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

128 Issued in NH

Practice address

198 Main St
Salem, NH 03079-3113

Phone

(603) 898-5864

Fax

(603) 898-1207

NPI assigned

Nov 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Parkland Medical Center Hospital, Derry, NH, CCN 300017

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/c3T6PEIfPZoUF9gf3uvco_NB4kf7fIWo/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Greater Salem Family Footcare Associates PC

  • Podiatrist
  • Salem, NH
  • NPI 1669542239
  Medicare reassignment NPD Authorized official

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

• HCA Health Services of New Hampshire Inc

  dba Parkland Medical Center

  • General Acute Care Hospital
  • Derry, NH
  • NPI 1174570683
  Care Compare affiliation

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1619047289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 MAIN ST",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793113",
            "telephone_number": "603-898-5864",
            "fax_number": "603-898-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 MAIN ST",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793113",
            "telephone_number": "603-898-5864",
            "fax_number": "603-898-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORGOL",
        "first_name": "STANLEY",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NH",
            "license": "128",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "1479",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS BCBS",
            "identifier": "Y71010",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "PRK017",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "PRK017",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glimmer Orthodontics PLLC
• Cindy Goff
• Avigdor Goldman
• Cheryl L Gonyou
• David P Gordon, D.M.D.
• Lois E Goss, L.I.C.S.W.
• Adina Gottlieb
• Terese Goulet
• Julia May Goyette, OT
• Ashley Graham

• Podiatrist in Salem, NH
• Providers in Salem, NH by specialty
• Podiatrist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.