Michael Christopher O'Gorman, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

72633 Issued in MA

Practice address

90 Libbey Pkwy Suite 100
South Shore Hospital Center for Wound Healing
Weymouth, MA 02189

Phone

(781) 624-4950

Fax

(877) 892-9770

NPI assigned

Feb 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1700852407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 TUCKERS WAY",
            "city": "HARWICH",
            "state": "MA",
            "postal_code": "026451976",
            "telephone_number": "413-768-8531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 LIBBEY PKWY SUITE 100",
            "address_2": "SOUTH SHORE HOSPITAL CENTER FOR WOUND HEALING",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "02189",
            "telephone_number": "781-624-4950",
            "fax_number": "877-892-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'GORMAN",
        "first_name": "MICHAEL",
        "middle_name": "CHRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "72633",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "72633",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9708995",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3065308",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan O'Connor, PA
• Kaitlin Ann O'Connor, D.O.
• Kendra O'Connor
• Shannon O'Connor, MSW, LCSW
• Thomas Patrick O'Connor Jr., M.D.
• Cara O'Keefe, LICSW
• Raymond William O'Keefe, RAYMOND O'KEEFE
• Robert Joseph O'Leary Jr., D.P.M.
• Donna M O'Sullivan, PTA
• Philip T O'Sullivan, M.D.

• Surgery Physician in Weymouth, MA
• Providers in Weymouth, MA by specialty
• Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.