Mark Richard Gorman, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0069 Issued in AZ

Practice address

10214 N Tatum Blvd Ste B300
Phoenix, AZ 85028-4233

Phone

(602) 954-0777

NPI assigned

Jun 22, 2005

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 2

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

46.39 of 100Reported as group

Quality

9.27

Promoting interoperability

93

Improvement activities

0

Cost

59.59

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Comprehensive Interventional Care Centers, PLLC

  • Vascular & Interventional Radiology Physician
  • Gilbert, AZ
  • NPI 1568803047

  Foot & Ankle Surgery

  Medicare reassignment NPD
• Comprehensive Interventional Care Centers, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Tempe, AZ
  • NPI 1902644594
  NPD
• Pueblo Family Physicians LTD

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1790798072
  NPD (past)

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1780680165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8475 E HARTFORD DR STE 201",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852555477",
            "telephone_number": "480-591-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10214 N TATUM BLVD STE B300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284233",
            "telephone_number": "602-954-0777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15425 N Greenway Hayden Loop",
            "address_2": "A300",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852601204",
            "country_code": "US",
            "telephone_number": "480-998-6079",
            "fax_number": "602-443-1698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14642 N Del Webb Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853512102",
            "country_code": "US",
            "telephone_number": "480-770-4615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4566 E Inverness Ave Ste 108",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852064633",
            "country_code": "US",
            "telephone_number": "480-985-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "838 W Elliot Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852335162",
            "country_code": "US",
            "telephone_number": "480-374-7354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6301 S McClintock Dr Ste 115",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852833393",
            "country_code": "US",
            "telephone_number": "480-775-8460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2145 W 28th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853641219",
            "country_code": "US",
            "telephone_number": "928-328-8338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860043708",
            "country_code": "US",
            "telephone_number": "928-719-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "MARK",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAZ PROVIDER #",
            "identifier": "0065330",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "700444",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christen Kay Gorman, DPT
• Connor J Gorman, PA-C
• Jennifer V Gorman, RN
• Julie Ann Gorman, NMD
• Karin Lynn Gorman, PT
• Peter G Gorman, DPT
• Randilea Gorman, RBT
• Shauna Michelle Gorman
• Yelena Gorodkova
• Deborah A Gorombei, FNP-BC

• Foot & Ankle Surgery Podiatrist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Foot & Ankle Surgery Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.

Verify at the official NPI Registry.