Active NPI
Eoin Gorman, DPM
- Foot & Ankle Surgery Podiatrist
- Grafton, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 1050
- Practice address
- 2061 Cheyenne CT
Grafton, WI 53024-9368 - Phone
- (262) 376-1934
- Fax
- (262) 375-2076
- NPI assigned
- Jul 14, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 1050 | WI | Primary |
| Podiatrist | 213E00000X | 1050 | WI |
Addresses
Primary practice location
2061 Cheyenne CT
Grafton, WI 53024-9368
Mailing address
4425 N Port Washington Rd
Glendale, WI 53212-1082
Phone (414) 326-2218
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12831 N Port Washington Rd
Mequon, WI 53097-2400
Phone (414) 259-7500
13111 N Port Washington Rd
Mequon, WI 53097-2416
Phone (262) 243-7300
2061 Cheyenne CT
Grafton, WI 53024-9368
Phone (262) 376-1934
2301 N Lake Dr
Milwaukee, WI 53211-4508
2323 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 585-1000
475 W River Woods Pkwy
Glendale, WI 53212-1081
Phone (414) 961-6800
801 S 70TH St
West Allis, WI 53214-3147
Phone (414) 773-6600
N112W15415 Mequon Rd
Germantown, WI 53022-3410
Phone (262) 250-7800
Hospital & facility affiliations
- Ascension Columbia St Marys Hospital Milwaukee
- Orthopaedic Hospital of Wisconsin
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 164 |
| Removal of skin lesions | 54 |
| Removal of nail tissue | 423 |
| Removal or shaving of skin growth | 184 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1050 | WI | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee Inc | Current | Accepting new patients |
Locations
7395 Solutions Ctr
Chicago, IL 60677
N112W15415 Mequon Rd
Germantown, WI 53022
Phone (262) 250-7800
4425 N Port Washington Rd
Glendale, WI 53212
Phone (414) 326-2218
2061 Cheyenne Ct
Grafton, WI 53024
Phone (262) 243-4952
13133 N Port Washington Rd
Ste 206
Mequon, WI 53097
Phone (262) 243-5044
830 E Green Bay Ave
Ste 103
Saukville, WI 53080
Phone (262) 268-0606
1414 N Taylor Dr
Ste 210
Sheboygan, WI 53081
Phone (262) 243-2500
1703 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 457-4438
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600
Organizations & group practices 3
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
- Milwaukee, WI
- NPI 1023064482
-
- Psychiatric Hospital Unit
- Mequon, WI
- NPI 1417600909
-
- Multi-Specialty Clinic/Center
- Mequon, WI
- NPI 1710928221
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1871656082
-
- General Acute Care Hospital
- Glendale, WI
- NPI 1669584983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1881949907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4425 N PORT WASHINGTON RD",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532121082",
"telephone_number": "414-326-2218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2061 CHEYENNE CT",
"city": "GRAFTON",
"state": "WI",
"postal_code": "530249368",
"telephone_number": "262-376-1934",
"fax_number": "262-375-2076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORMAN",
"first_name": "EOIN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-14",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "WI",
"license": "1050",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WI",
"license": "1050",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grafton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.