Active NPI
Alison Carrie Gorman, M.D.
- Family Medicine Physician
- Portland, ME
National Provider Identifier
1891710844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 017886
- Practice address
- 180 Park Ave
Portland Community Health Center
Portland, ME 04102-2957 - Phone
- (207) 874-2141
- Fax
- (207) 874-2164
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D64142 | MD | |
| Family Medicine Physician | 207Q00000X | 017886 | ME | Primary |
Addresses
Primary practice location
180 Park Ave
Portland Community Health Center
Portland, ME 04102-2957
Mailing address
180 Park Ave
Portland Community Health Center
Portland, ME 04102-2957
Phone (207) 874-2141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Albany Medical College of Union University, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
180 Park Ave
Portland, ME 04102-2957
Phone (207) 874-2141
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D64142 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portland Community Health Center | Current | Accepting new patients | |
| Portland Community Health Center | Current | Accepting new patients |
Locations
180 Park Ave
Portland, ME 04102
Phone (207) 772-3703
180 Park Ave
Ste 1
Portland, ME 04102
Phone (207) 828-2101
Interoperability endpoints
- alison.gorman.p1@direct.portlandchc.nextgenshare.com
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Portland, ME
- NPI 1609120856
-
- Federally Qualified Health Center (FQHC)
- Portland, ME
- NPI 1982338240
Hospital & facility affiliations 38
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387411200000",
"number": "1891710844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 PARK AVE",
"address_2": "PORTLAND COMMUNITY HEALTH CENTER",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022957",
"telephone_number": "207-874-2141",
"fax_number": "207-874-2164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 PARK AVE",
"address_2": "PORTLAND COMMUNITY HEALTH CENTER",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022957",
"telephone_number": "207-874-2141",
"fax_number": "207-874-2164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORMAN",
"first_name": "ALISON",
"middle_name": "CARRIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2013-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D64142",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "017886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.