Jan M Gorton, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

014582 Issued in ME

Practice address

16 Fahey St Ste 107
Belfast, ME 04915-6029

Phone

(207) 338-4257

Fax

(207) 338-4258

NPI assigned

Jun 8, 2009

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Belfast Pediatrics, LLC

  • Pediatrics Physician
  • Belfast, ME
  • NPI 1558436683
  NPD (past)

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1699901413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 FAHEY ST STE 107",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156029",
            "telephone_number": "207-338-4257",
            "fax_number": "207-338-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 FAHEY ST STE 107",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156029",
            "telephone_number": "207-338-4257",
            "fax_number": "207-338-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORTON",
        "first_name": "JAN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-08",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "014582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta Ann Goff, FNP-C
• Jean Ridington Goldfine, LCSW
• Bernadette Reust Goncharova, RPH
• Carl Leslie Goodwin-Moore, LMSW-CC
• Linda Arline Gordon, DSP
• Grace Chiropractic, LLC
• Judith B. Grace, L.C.P.C.
• Jesse Tyler Graffam, PHARMD
• Gregory Richard Grotz, M.D.
• Group Home Foundation, Inc.

• Pediatrics Physician in Belfast, ME
• Providers in Belfast, ME by specialty
• Pediatrics Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.