Individual provider Active NPI

Jaime G. Gorby, M.A., CCC-A

  • Audiologist
  • Charleston, WV
National Provider Identifier
1760515100
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A-0127 Issued in WV
Practice address
500 Donnally St
Suite 102
Charleston, WV 25301-1648
Phone
(304) 340-2209
Fax
(304) 340-2204
NPI assigned
Mar 14, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
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
Audiologist 231H00000X A-0127 WV Primary

Addresses

Primary practice location

500 Donnally St
Suite 102
Charleston, WV 25301-1648

Mailing address

500 Donnally St
Suite 102
Charleston, WV 25301-1648
Phone (304) 340-2209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081103000376 WV Practitioner - Qualified Audiologist 1759440944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charleston Surgical Hospital Healthcare Group PLLCGroup PAC ID 2466786702, 3 clinicians

Practice addresses (Care Compare)

1311 Virginia St E
Suite 100
Charleston, WV 25301-3011
Phone (304) 353-0210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
A-0127WVMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Surgical Hospital Healthcare Group, PLLC CurrentSince Dec 1, 2021 Accepting new patients

Locations

1311 Virginia St E
Ste 100
Charleston, WV 25301
Phone (304) 353-0210

9 Courtney Dr
Charleston, WV 25304
Phone (304) 925-3115

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760515100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 DONNALLY ST",
            "address_2": "SUITE 102",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011648",
            "telephone_number": "304-340-2209",
            "fax_number": "304-340-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DONNALLY ST",
            "address_2": "SUITE 102",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011648",
            "telephone_number": "304-340-2209",
            "fax_number": "304-340-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORBY",
        "first_name": "JAIME",
        "middle_name": "G.",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WV",
            "license": "A-0127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.