Active NPI
Joseph P. Gormley, M.D.
- Clinical Pathology Physician
- West Bend, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology Physician
- License
- 75347
- Practice address
- 3200 Pleasant Valley Rd
West Bend, WI 53095-9274 - Phone
- (262) 836-7301
- Fax
- (262) 836-7301
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Pathology Physician | 207ZC0006X | 75347 | WI | Primary |
Addresses
Primary practice location
3200 Pleasant Valley Rd
West Bend, WI 53095-9274
Mailing address
3200 Pleasant Valley Rd
West Bend, WI 53095-9274
Phone (262) 836-7301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100176126 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2300 Western Ave
Holy Family Memorial
Manitowoc, WI 54220-3712
Phone (920) 320-2011
3200 Pleasant Valley Rd
West Bend, WI 53095-9274
Phone (262) 836-7300
3212 Pleasant Valley Rd
West Bend, WI 53095-9274
Phone (262) 334-6165
8701 W Watertown Plank
Milwaukee, WI 53226-3548
Phone (414) 805-3666
8701 Watertown Plank Rd
Room 4041 MFRC
Milwaukee, WI 53226-3548
Phone (414) 805-3666
W180 N8065 Town Hall Rd
Menomonee Falls, WI 53051-3518
Phone (262) 251-1000
W180N8071 Town Hall Rd
Menomonee Falls, WI 53051-3518
Phone (262) 253-2700
W180N8085 Town Hall Rd
Suite 301
Menomonee Falls, WI 53051-3518
Phone (262) 257-3200
Hospital & facility affiliations
- St Josephs Community Hospital West Bend
- Community Memorial Hospital
- Froedtert Memorial Lutheran Hospital
- Holy Family Memorial
Merit-based Incentive Payment System (MIPS)
- Final score
- 95 of 100
- Quality
- 90
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.99 of 100
- Quality
- 82.81
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75347 | WI | MD | Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Current | Accepting new patients | |
| Black River Health Inc | Current | Accepting new patients | |
| Black River Health Inc | Current | Accepting new patients | |
| Black River Health Inc | Current | Accepting new patients |
Locations
1950 Circle of Hope Dr
Slc, UT 84112
Phone (801) 585-0100
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
711 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-1302
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
3200 Pleasant Valley Rd
West Bend, WI 53095
Phone (262) 334-5533
Interoperability endpoints
- jgormley834258@direct.froedtert.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Critical Access Hospital
- Black River Falls, WI
- NPI 1811940331
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1114321981
-
- Medicare Defined Swing Bed Hospital Unit
- Black River Falls, WI
- NPI 1003914011
-
- Rural Health Clinic/Center
- Black River Falls, WI
- NPI 1255183182
-
- Hematology & Oncology Physician
- Salt Lake City, UT
- NPI 1356745137
-
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1598169419
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Menomonee Falls, WI
- NPI 1609822881
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1255334173
-
- General Acute Care Hospital
- Manitowoc, WI
- NPI 1700998697
-
- General Acute Care Hospital
- West Bend, WI
- NPI 1851336044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1760547855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 PLEASANT VALLEY RD",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530959274",
"telephone_number": "262-836-7301",
"fax_number": "262-836-7301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 PLEASANT VALLEY RD",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530959274",
"telephone_number": "262-836-7301",
"fax_number": "262-836-7301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORMLEY",
"first_name": "JOSEPH",
"middle_name": "P.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0006X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology",
"state": "WI",
"license": "75347",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100176126",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Bend, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.