DR. PATRICK MICHAEL GORMAN (NPI# 1093011132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093011132 |
| Entity Type | Individual |
| Full Name | DR. PATRICK MICHAEL GORMAN |
| Credential | D.D.S. |
| Practice Address |
615 E 162nd St South Holland IL 60473-2329 |
| Practice Telephone | 7083311900 |
| Practice Fax Number | 7083311248 |
| Mailing Telephone | 7083311900 |
| Mailing Fax Number | 7083311248 |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2011-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
19A14567 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780926519 | Patrick Harold Gorman | Chiropractor | 2425 Allentown Road, Lima, OH 45805 | 2013-03-19 |
| 1780930107 | Patrick Gorman | Social Worker | 26 Obrien Avenue, Whitman, MA 02382 | 2012-08-03 |
| 1205838935 | Patrick W Gorman | Clinical Neuropsychologist | 111 N Lakemont Ave Ste 2d, Winter Park, FL 32792-3217 | 2005-08-12 |
| 1235779398 | Patrick Gorman | Counselor | 1701 N Central, Monett, MO 65708-6570 | 2020-01-07 |
| 1295735769 | Patrick D Gorman | Internal Medicine | 2985 Cortez Ave, Idaho Falls, ID 83404-2985 | 2005-07-27 |
| Street Address |
615 E 162ND ST |
| City | SOUTH HOLLAND |
| State | IL |
| Zip Code | 60473-2329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013462175 | 5 Star Family Dental | Dentist | 615 E 162nd St, South Holland, IL 60473-2329 | 2016-08-18 |
| 1831531706 | Mark James Broomhead | Dentist | 615 E 162nd St, South Holland, IL 60473-2329 | 2013-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558826453 | Beverly Hadley, Dds P.C. | Dentist | 16282 Prince Drive, South Holland, IL 60473 | 2019-02-05 |
| 1053830828 | Caring Shepherds Health Care Inc | In Home Supportive Care | 15525 South Park Ave, Suite 103b, South Holland, IL 60473 | 2017-09-13 |
| 1972039469 | Dipeeka Patel | Nurse Practitioner | 430 E 162nd St # 487, South Holland, IL 60473 | 2017-05-03 |
| 1134576036 | A&j Transportation LLC | Non-emergency Medical Transport (VAN) | 16610 Langley Ave, South Holland, IL 60473 | 2016-05-20 |
| 1902204902 | Np Prn LLP | Clinic/Center | 16456 Dobson, South Holland, IL 60473 | 2014-12-08 |
| 1033415328 | Twfj Inc | Private Vehicle | 15059 Forestview, South Holland, IL 60473 | 2011-02-03 |
| 1871751396 | Arlene Gardner | Counselor | 16107 Lasalle Street, South Holland, IL 60473 | 2008-05-30 |
| 1952576233 | Harvey Family Center | Voluntary or Charitable | 16247 Wausau Ave., South Holland, IL 60473 | 2008-04-28 |
| 1548452725 | Chirospaaah | Chiropractor | 944 East 162nd St., South Holland, IL 60473 | 2007-08-13 |
| 1033313341 | Myra D Staples | Social Worker | 430 East 167th Street, South Holland, IL 60473 | 2007-06-12 |
| Find all providers in zip 60473 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558826453 | Beverly Hadley, Dds P.C. | Dentist | 16282 Prince Drive, South Holland, IL 60473 | 2019-02-05 |
| 1871014001 | Wakas S. Abdulrazzaq | Dentist | 304 E 162nd St, South Holland, IL 60473-2141 | 2017-06-28 |
| 1992841613 | Beverly Hadley | Dentist | 16282 Prince Dr, South Holland, IL 60473-3233 | 2007-01-29 |
| 1285788687 | Shelley A Young | Dentist | 430 E 162nd St, Suite # 550, South Holland, IL 60473-2258 | 2007-01-22 |
| 1912058280 | Kenneth O Johnson | Dentist | 438 E 162nd St, South Holland, IL 60473-2258 | 2007-01-15 |
| 1205992617 | Larry E. Zollinger, D.d.s. PC | Dentist | 16266 Prince Dr, South Holland, IL 60473-3233 | 2006-12-29 |
| 1386709079 | Rajiv Khurana | Dentist | 16270 Prince Dr, South Holland, IL 60473-3233 | 2006-12-25 |
| 1851469811 | Rosa Galvan Silva | Dentist | 705 E 162nd St, South Holland, IL 60473-2377 | 2006-11-30 |
| 1386714210 | Albert Fitz Gruber II | Dentist | 15445 S Park Ave, South Holland, IL 60473-1302 | 2006-11-08 |
| 1053422758 | Dionne Nicole Henderson | Dentist | 605 E 170th St, South Holland, IL 60473-3408 | 2006-08-31 |
| Find all providers in SOUTH HOLLAND | ||||
| City | SOUTH HOLLAND |
| Zip Code | 60473 |
Please comment or provide details below to improve the information on DR. PATRICK MICHAEL GORMAN.
| 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.