Active NPI
Todd Gorman, CRNA
- Certified Registered Nurse Anesthetist
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP3073182
- Practice address
- 83 W Miller St
Orlando, FL 32806-2031 - Phone
- (321) 843-9792
- NPI assigned
- Aug 2, 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP3073182 | FL | Primary |
Addresses
Primary practice location
83 W Miller St
Orlando, FL 32806-2031
Mailing address
2699 Lee Rd Ste 510
Winter Park, FL 32789-1742
Phone (407) 896-9500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 305550700 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071204000896 | NC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6204925894 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1370 W D St
North Wilkesboro, NC 28659-3506
Phone (336) 651-8760
1917 W Park Drivce
N Wilkesboro, NC 28659-3506
Phone (336) 667-3762
810 Fairgrove Church Rd
Hickory, NC 28602-9617
Phone (828) 326-3000
Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734
Hospital & facility affiliations
- Catawba Valley Medical Center
- Wilkes Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catawba Valley Medical Center | Current | Accepting new patients | |
| Catawba Valley Medical Center | Current | Accepting new patients | |
| Catawba Valley Medical Center | Current | Accepting new patients | |
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| Nurse Anesthesia of North Carolina, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
180 Parkwood Dr
Elkin, NC 28621
Phone (336) 527-7000
810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000
250 Hospital Dr
Lexington, NC 27292
Phone (336) 238-4150
1370 W D St
North Wilkesboro, NC 28659
Phone (336) 651-8100
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
NC
-
- Health Educator
- Hickory, NC
- NPI 1518524818
-
- Registered Nurse
- Hickory, NC
- NPI 1598863433
-
- Certified Registered Nurse Anesthetist
- Elizabeth City, NC
- NPI 1689628729
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- North Wilkesboro, NC
- NPI 1881614071
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264550400000",
"number": "1811904469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2699 LEE RD STE 510",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327891742",
"telephone_number": "407-896-9500",
"fax_number": "407-896-9585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 W MILLER ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062031",
"telephone_number": "321-843-9792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORMAN",
"first_name": "TODD",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2010-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP3073182",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "305550700",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.