Individual provider Active NPI

Patrick Joseph Gorczyca, DVM

  • Veterinarian
  • Jackson, MI
National Provider Identifier
1740401215
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
6901003584 Issued in MI
Practice address
2300 Wildwood Ave
Jackson, MI 49202-3948
Phone
(517) 784-8457
Fax
(517) 784-9767
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 6901003584 MI Primary

Addresses

Primary practice location

2300 Wildwood Ave
Jackson, MI 49202-3948

Mailing address

4255 N Sandstone Rd
Parma, MI 49269-9728
Phone (517) 784-5928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6901003584MIMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740401215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 N SANDSTONE RD",
            "city": "PARMA",
            "state": "MI",
            "postal_code": "492699728",
            "telephone_number": "517-784-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WILDWOOD AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023948",
            "telephone_number": "517-784-8457",
            "fax_number": "517-784-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORCZYCA",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "credential": "DVM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "MI",
            "license": "6901003584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.