Mary Jo Gorman, M.D.

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

R5G50 Issued in MO

Practice address

12303 Depaul Drive
Bridgeton, MO 63044-5536

Phone

(314) 344-6000

Fax

(314) 514-6020

NPI assigned

Feb 10, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Healthy Bytes Solutions LLC

  • Registered Dietitian
  • Saint Louis, MO
  • NPI 1689216871
  NPD Authorized official
• Critical Care Services, P.C.

  • Multi-Specialty Clinic/Center
  • Saint Louis, MO
  • NPI 1942256250

  Critical Care Medicine

  NPD (past)
• Inpatient Consultants of Missouri Inc

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1194779579

  Critical Care Medicine

  NPD (past)

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237766400000",
    "number": "1972576775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 EXECUTIVE PARKWAY DR",
            "address_2": "SUITE 320",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416336",
            "telephone_number": "314-514-6000",
            "fax_number": "314-514-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12303 DEPAUL DRIVE",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630445536",
            "telephone_number": "314-344-6000",
            "fax_number": "314-514-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "MARY",
        "middle_name": "JO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2009-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MO",
            "license": "R5G50",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anoj Kumar Goel, M.D.
• Charles Gonzales, M.D.
• Molly Goodman, NP
• Stacie Gorden
• Thomas Gordon, PHARM D
• Bryan John Goss, ACNP
• Thomas Michael Gotsis, DDS
• Kaitlyn Taylor Kristina Gotthardt
• Taryn Lorraine Gough
• Courtney R Grady

• Critical Care Medicine (Internal Medicine) Physician in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• Critical Care Medicine (Internal Medicine) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.