Gina Gora M D PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301066415 Issued in MI

Legal business name

GINA GORA M D PLLC

Practice address

3347 Wormer Dr
Waterford, MI 48329-2569

Phone

(248) 872-1526

NPI assigned

Oct 8, 2012

Last updated

Oct 8, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gina Gora, M.D.NPI 1285639351

Title

Owner

Phone

(248) 872-1526

Specialties & licenses 1

Addresses

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.

• Gina Gora, MD

  • Family Medicine Physician
  • West Bloomfield, MI
  • NPI 1285639351
  Authorized official Same address or phone

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1720330392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3347 WORMER DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483292569",
            "telephone_number": "248-872-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3347 WORMER DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483292569",
            "telephone_number": "248-872-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA GORA M D PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2012-10-08",
        "status": "A",
        "authorized_official_last_name": "GORA",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-872-1526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301066415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Arthur Gibson, M.D.
• Mikayla Danielle Gilkerson
• April Renae Gilliard-Garner, RN
• Annette R Gilliland, MSW
• Angelo Gilmore, LMSW, LPC
• Spencer Gines
• Blake Glanton
• Libbie Gleason
• Christine Glowacki, FNP BC
• Daniel Michael Godfrey, RPH

• Family Medicine Physician in Waterford, MI
• Providers in Waterford, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.