DR. STEFAN MICHAEL GORSCH (NPI# 1083699961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083699961 |
| Entity Type | Individual |
| Full Name | DR. STEFAN MICHAEL GORSCH |
| Credential | M.D. |
| Practice Address |
590 Peter Jefferson Place Suite 175 Charlottesville VA 22911-0001 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 4349826900 |
| Practice Fax Number | 4349828420 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2013-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
0101051836 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 005854474 | 05 | |
| VA | MEDICARE RAILROAD /AMC | 110117310 | 01 |
| VA | 006045006 | 05 | |
| VA | 006044239 | 05 | |
| VA | MEDICARE RAILROAD | 110096332 | 01 |
| VA | MEDICARE RAILROAD / CULP | 110117312 | 01 |
| Street Address |
590 PETER JEFFERSON PLACE SUITE 175 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22911-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174663272 | Donna Markey | Nurse Practitioner | 590 Peter Jefferson Place, Suite 175, Charlottesville, VA 22911-0001 | 2007-02-07 |
| 1285604132 | Michelle Beard | Nurse Practitioner | 590 Peter Jefferson Place, Suite 175, Charlottesville, VA 22911-0001 | 2006-01-24 |
| 1649256181 | Christopher P Zazakos Jr. | Internal Medicine | 590 Peter Jefferson Place, Suite 175, Charlottesville, VA 22911-0001 | 2005-12-16 |
| 1003891854 | Emanuel Cirenza | Internal Medicine | 590 Peter Jefferson Place, Suite 175, Charlottesville, VA 22911-0001 | 2005-12-14 |
| 1679558563 | Maya Ghaemmaghami | Internal Medicine | 590 Peter Jefferson Place, Suite 175, Charlottesville, VA 22911-0001 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760840912 | Hearing At Home | Hearing Instrument Specialist | 103 Free Brige Ln, Charlottesville, VA 22911 | 2016-02-03 |
| 1649637752 | Ebony Cosby | Contractor | 2500 Boulders Rd, Charlottesville, VA 22911 | 2016-01-20 |
| 1629452727 | Ahmed M Murtuza | Pharmacist | 925 Dorchester Pl Apt. 103, Charlottesville, VA 22911 | 2015-07-17 |
| 1083093231 | Kimberly P Tran | Dentist | 1470 Pantops Mountain Pl Ste 1, Charlottesville, VA 22911 | 2015-05-20 |
| 1508252982 | Alexandra M Bender | Family Medicine | 3263 Proffit Rd Ste 201, Charlottesville, VA 22911 | 2015-04-13 |
| 1538599980 | Commonwealth Dental Anesthesiology Inc | Clinic/Center | 1460-b Pantops Mountain Place, Charlottesville, VA 22911 | 2013-11-21 |
| 1831386606 | Hudson Chiropractic P.C. | Chiropractor | 103-a Free Bridge Lane, Charlottesville, VA 22911 | 2007-09-26 |
| 1386863421 | Laura P Smith | Specialist | 595 Peter Jefferson Parkway Suite 390, Reproductive Medicine and Surgery Center of Va, Charlottesville, VA 22911 | 2007-04-25 |
| 1609928621 | Bl Enterprises, LLC | Physical Therapist | 1405 Rolkin Court, Suite 102, Charlottesville, VA 22911 | 2007-01-18 |
| 1972660959 | Kenneth I. Barron | Obstetrics & Gynecology | 630 Peter Jefferson Pkwy Ste 140b, Charlottesville, VA 22911 | 2007-01-02 |
| Find all providers in zip 22911 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366860496 | Krista Isaac | Internal Medicine | 1215 Lee St - Box Number 800716, Charlottesville, VA 22908-0001 | 2014-04-05 |
| 1841330008 | Michael E. Williams | Internal Medicine | Uva Emily Couric Clinical Cancer Ctr, 1240 Lee Street, Charlottesville, VA 22908-0001 | 2007-02-07 |
| 1679590608 | Aarti Ailawadi | Internal Medicine | Uva Hospital W, Hospital Drive, 4th Floor, Charlottesville, VA 22908-0001 | 2006-07-16 |
| 1053397745 | Hematology Oncology Patient Enterprises P C | Internal Medicine | 459 Locust Ave, Charlottesville, VA 22902-4808 | 2005-12-15 |
| 1073518452 | Mikhail Vinogradov | Internal Medicine | 2204 Hyland Ridge Dr, Charlottesville, VA 22911-3645 | 2005-06-14 |
| 1063701852 | Louise M Man | Internal Medicine | 1240 Lee St, Charlottesville, VA 22908-0817 | 2011-04-01 |
| 1093036113 | Andrew Michael Romano | Internal Medicine | 500 Martha Jefferson Dr, Charlottesville, VA 22911 | 2010-06-14 |
| 1427218205 | Craig Anthony Portell | Internal Medicine | 1240 Lee St, Charlottesville, VA 22908-0817 | 2008-06-14 |
| 1952502718 | Patrick M Dillon | Internal Medicine | 1240 Lee St, Charlottesville, VA 22908-0817 | 2007-05-30 |
| 1396966818 | David A. Mack | Internal Medicine | 4th Hospital Dr, Charlottesville, VA 22908-0001 | 2007-05-01 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22911 |
Please comment or provide details below to improve the information on DR. STEFAN MICHAEL GORSCH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.