Active NPI
Robert M. Gorsen M.D.,PHD.,P.C.
- Neurological Surgery Physician
- Annandale, VA
National Provider Identifier
1922025741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 0101042525
- Legal business name
- ROBERT M. GORSEN M.D.,PHD.,P.C.
- Practice address
- 3301 Woodburn Rd
Suite 211
Annandale, VA 22003-1229 - Phone
- (703) 573-4700
- Fax
- (703) 573-7922
- NPI assigned
- Jul 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert M Gorsen, MD
- Title
- Owner
- Phone
- (703) 573-4700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 0101042525 | VA | Primary |
Addresses
Primary practice location
3301 Woodburn Rd
Suite 211
Annandale, VA 22003-1229
Mailing address
3301 Woodburn Rd
Suite 211
Annandale, VA 22003-1229
Phone (703) 573-4700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 096463 | Other | VA | ANTHEM |
| 18110001 | Other | VA | BLUE CHOICE |
| 4353845 | Other | VA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268265600000",
"number": "1922025741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 WOODBURN RD",
"address_2": "SUITE 211",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220031229",
"telephone_number": "703-573-4700",
"fax_number": "703-573-7922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 WOODBURN RD",
"address_2": "SUITE 211",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220031229",
"telephone_number": "703-573-4700",
"fax_number": "703-573-7922"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT M. GORSEN M.D.,PHD.,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-16",
"last_updated": "2010-03-11",
"status": "A",
"authorized_official_last_name": "GORSEN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-573-4700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "VA",
"license": "0101042525",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "096463",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "18110001",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4353845",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Annandale, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.