Active NPI
Lawrence Gorab, MD
- Urology Physician
- Colorado Springs, CO
National Provider Identifier
1972579639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 17214
- Practice address
- 2610 Tenderfoot Hill St
Colorado Springs, CO 80906-3981 - Phone
- (719) 576-4744
- Fax
- (719) 226-8738
- NPI assigned
- Feb 23, 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 17214 | CO | Primary |
Addresses
Primary practice location
2610 Tenderfoot Hill St
Colorado Springs, CO 80906-3981
Mailing address
2610 Tenderfoot Hill St
Colorado Springs, CO 80906-3981
Phone (719) 576-4744
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01172147 | Medicaid | CO |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17214 | CO | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312761600000",
"number": "1972579639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2610 TENDERFOOT HILL ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809063981",
"telephone_number": "719-576-4744",
"fax_number": "719-226-8738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2610 TENDERFOOT HILL ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809063981",
"telephone_number": "719-576-4744",
"fax_number": "719-226-8738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORAB",
"first_name": "LAWRENCE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2011-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CO",
"license": "17214",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01172147",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.