Active NPI
Michael Gorski, D.O.
- Family Medicine Physician
- Saint Charles, IA
National Provider Identifier
1699747444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 03050
- Practice address
- 101 E Main St
Saint Charles, IA 50240-1522 - Phone
- (641) 396-2255
- Fax
- (641) 396-2655
- NPI assigned
- Feb 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 03050 | IA | Primary |
Addresses
Primary practice location
101 E Main St
Saint Charles, IA 50240-1522
Mailing address
101 E Main St
Saint Charles, IA 50240-1522
Phone (641) 396-2255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0144006 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03050 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarke County Public Hospital | Family Medicine | Past | Accepting new patients |
| Madison County Memorial Hospital | Past | Accepting new patients | |
| Emcare Physician Providers Inc. | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Critical Access Hospital
- Chariton, IA
- NPI 1588636351
-
dba Clarke County Clinic
- Rural Health Clinic/Center
- Osceola, IA
- NPI 1851856132
Family Medicine
-
- Emergency Medicine Physician
- Osceola, IA
- NPI 1740291087
-
dba Madison County Health Care System
- Medicare Defined Swing Bed Hospital Unit
- Winterset, IA
- NPI 1194880112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274140800000",
"number": "1699747444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E MAIN ST",
"city": "SAINT CHARLES",
"state": "IA",
"postal_code": "502401522",
"telephone_number": "641-396-2255",
"fax_number": "641-396-2655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E MAIN ST",
"city": "SAINT CHARLES",
"state": "IA",
"postal_code": "502401522",
"telephone_number": "641-396-2255",
"fax_number": "641-396-2655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORSKI",
"first_name": "MICHAEL",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2010-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "03050",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0144006",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Charles, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.