Active NPI
Richard C Gorgo Jr., D.C.
- Chiropractor
- Parkesburg, PA
National Provider Identifier
1669700985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC007027L
- Practice address
- 819 N Octorara TRL
Parkesburg, PA 19365-2114 - Phone
- (610) 880-4169
- Fax
- (484) 712-5189
- NPI assigned
- Nov 24, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 02018 | MD | |
| Chiropractor | 111N00000X | DC007027L | PA | Primary |
Addresses
Primary practice location
819 N Octorara TRL
Parkesburg, PA 19365-2114
Mailing address
49 Wagner LN
Coatesville, PA 19320-4171
Phone (610) 880-4169
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050422000735 | PA | Practitioner - Chiropractic | 0941248561 | Practice locations: Coatesville, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
49 Wagner LN
Coatesville, PA 19320-4171
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02018 | MD | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505174400000",
"number": "1669700985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 WAGNER LN",
"city": "COATESVILLE",
"state": "PA",
"postal_code": "193204171",
"telephone_number": "610-880-4169",
"fax_number": "484-712-5189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 N OCTORARA TRL",
"city": "PARKESBURG",
"state": "PA",
"postal_code": "193652114",
"telephone_number": "610-880-4169",
"fax_number": "484-712-5189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORGO",
"first_name": "RICHARD",
"middle_name": "C",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-24",
"last_updated": "2017-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "02018",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC007027L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parkesburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.