Thomas M McGorey, MD

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

38070-20 Issued in WI

Practice address

1225 Remmel Dr
Johnson Creek, WI 53094-8511

Phone

(920) 674-6255

Fax

(920) 674-5288

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Rainbow Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Jefferson, WI
  • NPI 1538134499

  W-2 Managing Employee

  CMS ownership

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.

• Fort Healthcare Inc

  • Otolaryngology Physician
  • Fort Atkinson, WI
  • NPI 1417993361

  Family Medicine

  Medicare reassignment NPD
• Rainbow Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Jefferson, WI
  • NPI 1538134499

  Family Medicine

  Medicare reassignment NPD
• Fort Healthcare Inc

  • Rural Health Clinic/Center
  • Fort Atkinson, WI
  • NPI 1417450115

  Family Medicine

  NPD
• Fort Healthcare, Inc.

  • General Acute Care Hospital
  • Fort Atkinson, WI
  • NPI 1811916281
  NPD
• Rainbow Hospice Care, Inc.

  • Nurse Practitioner
  • Johnson Creek, WI
  • NPI 1821799727

  Hospice and Palliative Medicine

  NPD

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1770518540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 W ROCKWELL ST",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535492048",
            "telephone_number": "920-674-6255",
            "fax_number": "920-674-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 REMMEL DR",
            "city": "JOHNSON CREEK",
            "state": "WI",
            "postal_code": "530948511",
            "telephone_number": "920-674-6255",
            "fax_number": "920-674-5288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "WI",
            "postal_code": "530983303",
            "country_code": "US",
            "telephone_number": "920-261-4210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "147 W Rockwell St",
            "address_purpose": "LOCATION",
            "city": "Jefferson",
            "state": "WI",
            "postal_code": "535492048",
            "country_code": "US",
            "telephone_number": "920-674-6255",
            "fax_number": "920-674-5288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGOREY",
        "first_name": "THOMAS",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2021-01-18",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "38070-20",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "WI",
            "license": "38070-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32416700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johnson Creek Fire EMS Dept.
• Johnson Creek School District
• Shonna Marie Jorgensen, D.D.S.
• Barbara J Kelly, OTR
• Luxottica of America Inc
• Jonathon J Melk, D.D.S.
• James Milford, MD
• Anna Miller, MS, CCC-SLP
• David A Misorski, MD
• Orthopaedic Associates of Wisconsin SC

• Hospice and Palliative Medicine (Family Medicine) Physician in Johnson Creek, WI
• Providers in Johnson Creek, WI by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.