Gavin Stormont

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

71498 Issued in MN

Practice address

1217 8TH St N
New Ulm, MN 56073-1552

Phone

(507) 217-5000

NPI assigned

Jun 30, 2017

Last updated

Sep 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Urology

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

CCM HealthGroup PAC ID 4284539453, 69 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Chippewa County Hospital Hospital, Montevideo, MN, CCN 241325
• Centracare- Rice Memorial Hospital Hospital, Willmar, MN, CCN 240088

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gstormont588146@excellian.direct.allina.com
• Direct secure messaging: gstormont840409@direct.centracare.com

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.

• CCM Health

  • Critical Access Hospital
  • Montevideo, MN
  • NPI 1720086028
  Medicare reassignment Care Compare group NPD
• Allina Health System

  dba Allina Health Buffalo Specialty Clinic

  • Obstetrics & Gynecology Physician
  • Buffalo, MN
  • NPI 1295272342
  Medicare reassignment NPD
• Mankato Clinic LTD

  • Family Medicine Physician
  • Mankato, MN
  • NPI 1629044029

  Surgery

  Medicare reassignment NPD
• Windom Area Hospital

  dba Windom Area Health

  • Medicare Defined Swing Bed Hospital Unit
  • Windom, MN
  • NPI 1831187509
  Medicare reassignment NPD
• Allina Health System

  dba Allina Health United Medical Specialties Clinic

  • General Practice Physician
  • Saint Paul, MN
  • NPI 1053617795
  NPD
• Allina Health System

  dba Allina Health TeleRheumatology

  • Rheumatology Physician
  • Coon Rapids, MN
  • NPI 1952146516
  NPD
• CCM Health

  • Rural Health Clinic/Center
  • Milan, MN
  • NPI 1457132466
  NPD
• CCM Health

  • Rural Health Clinic/Center
  • Marshall, MN
  • NPI 1487436655
  NPD (past)

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

• Carris Health LLC

  dba CentraCare - Rice Memorial Hospital

  • Infusion Therapy Clinic/Center
  • Willmar, MN
  • NPI 1124657150

  Hospital

  Care Compare affiliation
• Carris Health LLC

  dba CentraCare - Rice Memorial Hospital

  • General Acute Care Hospital
  • Willmar, MN
  • NPI 1407367030
  Care Compare affiliation
• CCM Health

  dba Chippewa County Montevideo Hospital Urgent Care

  • Urgent Care Clinic/Center
  • Montevideo, MN
  • NPI 1275057978

  Hospital

  Care Compare affiliation
• CCM Health

  • Critical Access Hospital
  • Montevideo, MN
  • NPI 1720086028
  Care Compare affiliation

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1639690589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "612-262-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 8TH ST N",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560731552",
            "telephone_number": "507-217-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORMONT",
        "first_name": "GAVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-30",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MN",
            "license": "71498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Grace Skogberg
• Erika Anne Sletten, LICSW
• Risa Sue Smith, SLP
• Shirley J Steele, CRNA
• Charles W Stephens, MD
• Laura Lynn Strunk, MSSW, LICSW
• Ashleigh Nicole Swearingen, M.D.
• Laura Marie Szczesniak, MD, PHD
• Steven Jay Taylor, D.D.S.
• Thrive Behavioral Network II, LLC (Nova House)

• Urology Physician in New Ulm, MN
• Providers in New Ulm, MN by specialty
• Urology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.