Active NPI
Richard E Gorman, M.D.
- Surgery Physician
- Chambersburg, PA
National Provider Identifier
1831180215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD053052L
- Practice address
- 120 N 7TH St Ste 200
Chambersburg, PA 17201-1795 - Phone
- (717) 217-6800
- NPI assigned
- Nov 3, 2005
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD053052L | PA | Primary |
Addresses
Primary practice location
120 N 7TH St Ste 200
Chambersburg, PA 17201-1795
Mailing address
785 5TH Ave
Suite 3
Chambersburg, PA 17201-4232
Phone (717) 263-9555
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD053052L | Other | PA | LICENSE |
| 2191573 | Other | PA | UNITED HEALTH CARE (MAMSI) |
| P00841788 | Other | PA | RAILROAD MEDICARE |
| 2191573 | Other | PA | MAMSI |
| 1007307260034 | Other | PA | MEDICAID GROUP # |
| 6121247 | Other | PA | AETNA HMO |
| 0014851760005 | Medicaid | PA | |
| 143050 | Other | PA | HIGHMARK BLUESHIELD |
| 25-1716306 | Other | PA | DEVON |
| 4549904 | Other | PA | AETNA NON-HMO |
| 867633 | Other | PA | MEDICARE GROUP # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD053052L | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1831180215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "785 5TH AVE",
"address_2": "SUITE 3",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172014232",
"telephone_number": "717-263-9555",
"fax_number": "717-217-4217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 N 7TH ST STE 200",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172011795",
"telephone_number": "717-217-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORMAN",
"first_name": "RICHARD",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-03",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD053052L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "MD053052L",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE (MAMSI)",
"identifier": "2191573",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00841788",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "2191573",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP #",
"identifier": "1007307260034",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "6121247",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014851760005",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUESHIELD",
"identifier": "143050",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEVON",
"identifier": "25-1716306",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NON-HMO",
"identifier": "4549904",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP #",
"identifier": "867633",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chambersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.