John Michael Gorlowski, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

MD056208-L Issued in PA

Practice address

761 Johnsonburg Rd
Suite 360
St Marys, PA 15857-3483

Phone

(814) 781-8677

Fax

(814) 781-8246

NPI assigned

Sep 7, 2005

Reactivated

Mar 30, 2006

Last updated

Apr 23, 2008By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

Temple University School of Medicine, 1992

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of Pittsburgh Physicians

  • Gastroenterology Physician
  • Pittsburgh, PA
  • NPI 1619935004
  Medicare reassignment NPD
• John M Gorlowski MD PC

  • Pediatric Adolescent Medicine Physician
  • Saint Marys, PA
  • NPI 1043477946
  NPD (past) Authorized official
• John M. Gorlowski, M.D.

  • Clinical Medical Laboratory
  • Saint Marys, PA
  • NPI 1003012832
  NPD (past) Authorized official
• University of Pittsburgh Physicians

  • Pediatrics Physician
  • Pittsburgh, PA
  • NPI 1225096639

  Adolescent Medicine

  NPD
• University of Pittsburgh Physicians

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
  • NPI 1285692699
  NPD
• Upmc Northwest

  • General Acute Care Hospital
  • Seneca, PA
  • NPI 1619069440
  NPD (past)

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1740274729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 JOHNSONBURG RD",
            "address_2": "SUITE 360",
            "city": "ST MARYS",
            "state": "PA",
            "postal_code": "158573483",
            "telephone_number": "814-781-8677",
            "fax_number": "814-781-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 JOHNSONBURG RD",
            "address_2": "SUITE 360",
            "city": "ST MARYS",
            "state": "PA",
            "postal_code": "158573483",
            "telephone_number": "814-781-8677",
            "fax_number": "814-781-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORLOWSKI",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2008-04-23",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "PA",
            "license": "MD056208-L",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "024093",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giant Eagle, Inc (Giant Eagle Pharmacy #87)
• Diane L Gies, PTA
• Morgan Gleixner
• Alverda Goldsmith, CRNP
• Karen Annette Gongaware, M.A.
• Joleen Grolemund, LCSW
• April Lynn Gurosik, LSW
• Gwendolyn Akers DO PLLC
• Timothy Nathaniel Hall, D.O.
• Megen Handley, CRNP

• Pediatric Adolescent Medicine Physician in Saint Marys, PA
• Providers in Saint Marys, PA by specialty
• Pediatric Adolescent Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.
• 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.

Verify at the official NPI Registry.