MR. THOMAS M GORMLEY (NPI# 1336132877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336132877 |
| Entity Type | Individual |
| Full Name | MR. THOMAS M GORMLEY |
| Credential | ANP |
| Practice Address |
724 Postal Service Loop #7460 Fort Richardson AK 99505-5001 |
| Practice Telephone | 9073840405 |
| Practice Fax Number | 9073840380 |
| Mailing Telephone | 9073840405 |
| Mailing Fax Number | 9073840380 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2009-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
405 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | ALASKA LICENSE NUMBER | 405 | 01 |
| AK | NP 4216 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821135641 | Thomas J Gormley | Dentist | 280 Washington Ave, Belleville, NJ 07109-3170 | 2007-01-31 |
| 1497721948 | Thomas S Gormley | Urology | 2545 S Don Roser Dr, Las Cruces, NM 88011-9107 | 2006-02-24 |
| Street Address |
724 POSTAL SERVICE LOOP #7460 |
| City | FORT RICHARDSON |
| State | AK |
| Zip Code | 99505-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205806890 | Mark Steven Evans | Registered Nurse | 724 Postal Service Loop, Fort Richardson, AK 99505-5001 | 2006-01-25 |
| 1952589624 | Daniel Deweese Thomson | Psychiatry & Neurology | 724 Postal Service Loop, Fort Richardson, AK 99505-5001 | 2008-02-05 |
| 1457305609 | Benjamin J Belfiglio | Dentist | 724 Postal Service Loop, #7500, Fort Richardson, AK 99505-5001 | 2006-05-20 |
| 1750339180 | Gregory Allen Kalal | Dentist | 724 Postal Service Loop, #7500, Fort Richardson, AK 99505-5001 | 2006-05-05 |
| 1679521942 | Taffy Ellen Uscola | Dental Hygienist | 724 Postal Service Loop, #7500, Fort Richardson, AK 99505-5001 | 2006-05-05 |
| 1629026976 | Calvin Yoshito Shiroma | Dentist | 724 Postal Service Loop, #7500, Bldg. 634, Fort Richardson, AK 99505-5001 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134763378 | Idris Usman | Social Worker | 786 D St., Jber-richardson, AK 99505 | 2019-10-31 |
| 1114578572 | Matthew Coddington | Physical Therapist | Jber Soldier Centered Medical Home, Building 786, D Street, Jber, AK 99505 | 2019-09-26 |
| 1801362132 | Jolene Danielle Sletten | Audiologist | Soldier Centered Medical Home-u.s. Army, 786 D Street, Joint Base Elemendorf-richardson, AK 99505 | 2018-10-14 |
| 1700322773 | Joshua Hatch | Physician Assistant | Bldg 786 D St., Jber, AK 99505 | 2017-01-13 |
| 1578912598 | Jacob Shook | Family Medicine | Medac 7860, Joint Base Elmendorf Richardson, AK 99505 | 2016-06-09 |
| 1699130963 | Tracy Mumbulo | Licensed Practical Nurse | 208 Akutan Ave Unit A, Jber, AK 99505 | 2015-12-30 |
| 1609294933 | Benjamin E. Thompson | Physician Assistant | Jber Scmh, Bldg 786 D St, Jber, AK 99505 | 2014-04-03 |
| 1679990279 | Daniel Lord | Psychologist | 600 Richardson Drive Community Center, Fort Richardson, Anchorage, AK 99505 | 2014-03-21 |
| 1598199028 | Nina Rodriguez | General Practice | 786 D St, Jber, AK 99505 | 2013-09-03 |
| 1720383185 | Nicole Levaillant | Psychologist | Building 786 D Street, Anchorage, AK 99505 | 2011-01-17 |
| Find all providers in zip 99505 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| City | FORT RICHARDSON |
| Zip Code | 99505 |
Please comment or provide details below to improve the information on MR. THOMAS M GORMLEY.
| 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.