Organization Active NPI

Richard Gorenberg, MD, PA

  • Gynecology Physician
  • Gainesville, FL
National Provider Identifier
1972828861
Registry record updated Apr 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
11670 Issued in FL
Legal business name
RICHARD GORENBERG, MD, PA
Practice address
3601 SW 2ND Ave
Suite J
Gainesville, FL 32607-2865
Phone
(352) 372-3511
Fax
(352) 372-3513
NPI assigned
Apr 2, 2010
Last updated
Apr 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2010

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

Authorized official

Name
Dr. Richard Gorenberg, M.D.
Title
President
Phone
(352) 372-3511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 11670 FL Primary

Addresses

Primary practice location

3601 SW 2ND Ave
Suite J
Gainesville, FL 32607-2865

Mailing address

3601 SW 2ND Ave
Suite J
Gainesville, FL 32607-2865
Phone (352) 372-3511

National Provider Directory

National Provider Directory

Locations

3601 SW 2nd Ave
Ste J
Gainesville, FL 32607
Phone (352) 372-3511

NPI Registry JSON

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

{
    "created_epoch": "1270166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270166400000",
    "number": "1972828861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 SW 2ND AVE",
            "address_2": "SUITE J",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072865",
            "telephone_number": "352-372-3511",
            "fax_number": "352-372-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 SW 2ND AVE",
            "address_2": "SUITE J",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072865",
            "telephone_number": "352-372-3511",
            "fax_number": "352-372-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD GORENBERG, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-02",
        "last_updated": "2010-04-02",
        "status": "A",
        "authorized_official_last_name": "GORENBERG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-372-3511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "11670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2010; 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.