Marie Jane Gorski, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

33917 Issued in TN

Practice address

3331 W Deyoung St Ste 305
Marion, IL 62959

Phone

(618) 998-7155

Fax

(618) 998-7285

NPI assigned

Oct 25, 2006

Last updated

Jan 8, 2019By the provider in NPPES

Sex

Female

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 2

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

General Surgery

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deaconess Illinois Specialty Clinic, Inc.Group PAC ID 9830562016, 145 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Deaconess Illinois Union County Hospital, Anna, IL, CCN 141342

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mariegorski@hbmc.allscriptsdirect.net
• Direct secure messaging: mgorski@direct.pvillehosp.org
• Direct secure messaging: mgorski808074@direct.deaconess.com
• Direct secure messaging: mjgorski@yourcarecommunity.org

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.

• Deaconess Illinois Specialty Clinic, Inc.

  dba Deaconess IL Specialty 3331 DeYoung

  • Surgery Physician
  • Marion, IL
  • NPI 1972210235
  Medicare reassignment Care Compare group NPD
• Pinckneyville Community Hospital

  • Critical Access Hospital
  • Pinckneyville, IL
  • NPI 1689646523
  Medicare reassignment NPD
• Deaconess Illinois Specialty Clinic, Inc.

  dba Deaconess Care Group Illinois Union County

  • Hospitalist Physician
  • Anna, IL
  • NPI 1225858251
  NPD
• Deaconess Illinois Specialty Clinic, Inc.

  dba Deaconess Illinois Emergency Room Physicians

  • Emergency Medicine Physician
  • Marion, IL
  • NPI 1336845015
  NPD
• Pinckneyville Community Hospital

  dba Family Medical Center

  • Rural Health Clinic/Center
  • Pinckneyville, IL
  • NPI 1306818844
  NPD
• Deaconess Illinois Clinic, Inc

  dba Deaconess Illinois Clinic

  • Family Medicine Physician
  • Mount Vernon, IL
  • NPI 1245956523
  NPD (past)
• Andrew W. Sisk, MD, Facs

  • Surgery Physician
  • Columbia, TN
  • NPI 1275723595
  NPD (past)
• Mitchell Eye Center, PLLC

  • Clinic/Center
  • Selmer, TN
  • NPI 1235633199
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Deaconess Illinois Union County Hospital Inc

  dba Deaconess Illinois Union County

  • Critical Access Hospital
  • Anna, IL
  • NPI 1710604483
  Care Compare affiliation

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1841374873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5009",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370245009",
            "telephone_number": "615-221-1400",
            "fax_number": "931-388-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 W DEYOUNG ST STE 305",
            "city": "MARION",
            "state": "IL",
            "postal_code": "62959",
            "telephone_number": "618-998-7155",
            "fax_number": "618-998-7285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3331 W DeYoung St Ste 305",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IL",
            "postal_code": "62959",
            "country_code": "US",
            "telephone_number": "618-998-7155",
            "fax_number": "618-998-7285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 South Cross Bridges Road",
            "address_purpose": "LOCATION",
            "city": "Mt. Pleasant",
            "state": "TN",
            "postal_code": "38474",
            "country_code": "US",
            "telephone_number": "931-490-4660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORSKI",
        "first_name": "MARIE",
        "middle_name": "JANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036095265",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "33917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3853897",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "020053440",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Golliher
• Ariel J Gonzalez
• Kristi Gooch
• Stacie Marie Goodloe, CMP
• Angela M Goodwin, LCSW
• Mario L Gospodinoff, M.D.
• James Michael Gott
• Graham Family Medicine Inc
• Eric Sean Graham, MD
• Grady Jack Graham

• Surgery Physician in Marion, IL
• Providers in Marion, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.