Active NPI
Phyllis Gorman, CNM
- Midwife
- Cambridge, MA
National Provider Identifier
1760457097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 150129
- Practice address
- 330 Mount Auburn St
Center for Women
Cambridge, MA 02138-5502 - Phone
- (617) 499-5151
- Fax
- (617) 499-5179
- NPI assigned
- Feb 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 150129 | MA | Primary |
Addresses
Primary practice location
330 Mount Auburn St
Center for Women
Cambridge, MA 02138-5502
Mailing address
330 Mount Auburn St
Center for Women
Cambridge, MA 02138-5502
Phone (617) 499-5151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0355216 | Medicaid | MA |
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)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150129 | MA | MD | Emergency Medicine Physician |
Interoperability endpoints
- pgorman486966@direct.bilh.masshiway.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268092800000",
"number": "1760457097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 MOUNT AUBURN ST",
"address_2": "CENTER FOR WOMEN",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385502",
"telephone_number": "617-499-5151",
"fax_number": "617-499-5179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 MOUNT AUBURN ST",
"address_2": "CENTER FOR WOMEN",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385502",
"telephone_number": "617-499-5151",
"fax_number": "617-499-5179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORMAN",
"first_name": "PHYLLIS",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-21",
"last_updated": "2010-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "MA",
"license": "150129",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0355216",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.