Organization Active NPI

William a Gormley, DPM, LLC

  • Podiatric Clinic/Center
  • Elkridge, MD
National Provider Identifier
1669226866
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
WILLIAM A GORMLEY, DPM, LLC
Practice address
6755 Business Pkwy Ste 410
Elkridge, MD 21075-6749
Phone
(443) 517-1784
NPI assigned
Apr 15, 2024
Organization subpart
Yes
Parent organization
WILLIAM A GORMLEY, DPM, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

Name
William A Gormley, MDNPI 1649220880
Title
Owner
Phone
(443) 517-3171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

6755 Business Pkwy Ste 410
Elkridge, MD 21075-6749

Mailing address

6755 Business Pkwy Ste 410
Elkridge, MD 21075-6749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100727000121 MD Part B Supplier - Clinic/Group Practice 6204969322 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Elkridge, MD; Gambrills, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
William a Gormley DPM LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1669226866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6755 BUSINESS PKWY STE 410",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6755 BUSINESS PKWY STE 410",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756749",
            "telephone_number": "443-517-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM A GORMLEY, DPM, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLIAM A GORMLEY, DPM, LLC",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "GORMLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-517-3171",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.