George B Goris, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

4301033943 Issued in MI

Practice address

1020 S Westnedge Ave
Kalamazoo, MI 49008-1166

Phone

(269) 344-4458

NPI assigned

May 9, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Victory Clinical Services LLC

  • Multi-Specialty Clinic/Center
  • Kalamazoo, MI
  • NPI 1447383500
  NPD (past)

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1760659726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 S WESTNEDGE AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081166",
            "telephone_number": "269-344-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S WESTNEDGE AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081166",
            "telephone_number": "269-344-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORIS",
        "first_name": "GEORGE",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301033943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "4301033943",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Athena Rai Goppold, MT-BC
• Thomas Goralski
• Andrew John Gordon, MD, FACS
• Laura Margaret Gordon, MA, LLPC
• Shaeles Marie Goretzka, LMSW
• Robert Roland Gorman III, MD
• Jesse Gortner, DO
• Sharon Gorton, L.P.N.
• Christian James Goss, BEHAVIOR TECHNICIAN
• Grace Gostlin, LLBSW

• Pulmonary Disease Physician in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Pulmonary Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.