Active NPI
Jack B. Gorman, DPM
- Foot Surgery Podiatrist
- Warminster, PA
National Provider Identifier
1922036375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- SC001284L
- Practice address
- 399 York Rd
Warminster, PA 18974-4516 - Phone
- (215) 672-3222
- Fax
- (215) 672-6634
- NPI assigned
- Jun 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | SC001284L | PA | Primary |
Addresses
Primary practice location
399 York Rd
Warminster, PA 18974-4516
Mailing address
399 York Rd
Warminster, PA 18974-4516
Phone (215) 672-3222
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0505452 | Medicaid | PA | |
| 31851A | Other | PA | KEYSTONE MERCY |
| 048077 | Other | PA | HIGHMARK BLUE SHEILD |
| T23784 | Other | PA | HEALTH PARTNERS |
| 0023085000 | Other | PA | KEYSTONE BLUE SHEILD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC001284L | PA | MD | Foot Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212019200000",
"number": "1922036375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "399 YORK RD",
"city": "WARMINSTER",
"state": "PA",
"postal_code": "189744516",
"telephone_number": "215-672-3222",
"fax_number": "215-672-6634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "399 YORK RD",
"city": "WARMINSTER",
"state": "PA",
"postal_code": "189744516",
"telephone_number": "215-672-3222",
"fax_number": "215-672-6634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORMAN",
"first_name": "JACK",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2008-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "PA",
"license": "SC001284L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0505452",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "31851A",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHEILD",
"identifier": "048077",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "T23784",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE BLUE SHEILD",
"identifier": "0023085000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warminster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.