DR. MATTHEW E GORMAN (NPI# 1518189471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518189471 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW E GORMAN |
| Credential | MD |
| Practice Address |
739 Irving Ave Suite 500 Syracuse NY 13210-1640 |
| Mailing Address |
1001 W Fayette St Suite 400 Syracuse NY 13204-2859 |
| Practice Telephone | 3154707409 |
| Practice Fax Number | 3154752357 |
| Mailing Telephone | 3154707409 |
| Mailing Fax Number | 3154752357 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2016-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
243520 | NY | Allopathic & Osteopathic Physicians |
| Y | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
243520 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02915979 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508334962 | Matthew Thomas Gorman | Physician Assistant | 625 Belmont Ave, West Babylon, NY 11704-1939 | 2018-11-04 |
| 1043477243 | Matthew Francis Gorman | Pediatrics | 505 Parnassus Ave Box 0106, Ucsf Department of Pediatrics - Oncology, San Francisco, CA 94143-0106 | 2008-05-16 |
| 1770874117 | Matthew William Gorman | Family Medicine | 8100 W 78th St, Ste. 230, Edina, MN 55439-2516 | 2011-04-20 |
| 1194858357 | Matthew Gorman | Orthopaedic Surgery | 4140 Centennial Hills Blvd, Ste A, Casper, WY 82609 | 2007-03-14 |
| 1427130392 | Matthew Gorman | Internal Medicine | 10 Saint Clare Ct, Washington, IL 61571-9239 | 2006-10-20 |
| Street Address |
739 IRVING AVE SUITE 500 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-1640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750384004 | Brenda A Baker | Nurse Practitioner | 739 Irving Ave, Ste 520, Syracuse, NY 13210-1663 | 2005-05-31 |
| 1538604053 | Darren Kwee | Physician Assistant | 739 Irving Ave, Suite 200, Syracuse, NY 13210-1651 | 2016-12-20 |
| 1093268153 | Mackenzie Renee Rotella | Nurse Practitioner | 739 Irving Ave, Suite 200, Syracuse, NY 13210-1651 | 2016-07-25 |
| 1811348642 | Sara Finney | Physician Assistant | 739 Irving Ave, Suite 600, Syracuse, NY 13210-1651 | 2016-06-22 |
| 1174990592 | Anna Buckman | Nurse Practitioner | 739 Irving Ave, Suite 500, Syracuse, NY 13210-1651 | 2015-09-02 |
| 1073999769 | Carly Hornis | Obstetrics & Gynecology | 739 Irving Ave, Suite 530, Syracuse, NY 13210-1663 | 2015-08-04 |
| 1144604117 | Brandy Leary | Nurse Practitioner | 739 Irving Ave, Suite 450, Syracuse, NY 13210-1651 | 2015-07-19 |
| 1639559305 | Crouse Medical Practice Pllc | Internal Medicine | 739 Irving Ave, Suite 500, Syracuse, NY 13210-1651 | 2015-06-08 |
| 1477950400 | Tabatha Jorgensen | Physician Assistant | 739 Irving Ave, Suite 600, Syracuse, NY 13210-1651 | 2014-11-19 |
| 1568874881 | Crouse Medical Practice Pllc | Non-Pharmacy Dispensing Site | 739 Irving Ave, Suite 200 and 300, Syracuse, NY 13210-1651 | 2014-05-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
| Find all providers in zip 13210 | ||||
| Taxonomy Code | 207UN0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| Specialization | Nuclear Cardiology |
| A nuclear medicine physician who specializes in nuclear cardiology. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538121710 | Cardiology, PC | Nuclear Medicine | 739 Irving Ave, Suite 500, Syracuse, NY 13210-1640 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356985683 | Robe Zack Olanz Md Oles | Nuclear Medicine | 401 7th Ave, New York, NY 10001-3463 | 2019-10-30 |
| 1326552548 | Sylvan Healthcare Inc | Nuclear Medicine | 849 57th St Ste 801, Brooklyn, NY 11220-3797 | 2017-11-27 |
| 1629505003 | Gramercy Cardiology, PC | Nuclear Medicine | 131 W 35th St # 700, New York, NY 10001-2111 | 2017-05-17 |
| 1912329467 | Kings Medical Services PC | Nuclear Medicine | 1847 Utica Ave, 1st Fl, Brooklyn, NY 11234-2122 | 2014-01-16 |
| 1962832485 | Gold Coast Cardiology PC | Nuclear Medicine | 370 Northern Blvd, Great Neck, NY 11021-4813 | 2013-11-19 |
| 1568727782 | New York Cardiac, P.C. | Nuclear Medicine | 5 Jeanne Dr Ste 5, Newburgh, NY 12550-1797 | 2012-07-13 |
| 1194016618 | Gramercy Cardiac Diagnostic Services, P.C. | Nuclear Medicine | 2329 Nostrand Ave, 600, Brooklyn, NY 11210-3839 | 2011-05-02 |
| 1366776700 | Gramercy Cardiac Diagnostic Svcs P.C. | Nuclear Medicine | 90 Moore St, Unit 1a, Brooklyn, NY 11206-3353 | 2009-10-01 |
| 1447584883 | Gramercy Cardiac Diagostic Svcs P.C. | Nuclear Medicine | 9617 Astoria Blvd, East Elmhurst, NY 11369-1815 | 2009-10-01 |
| 1366691610 | Metro Physician Associates LLP | Nuclear Medicine | 1973 University Blvd, Bronx, NY 10453-4404 | 2008-09-11 |
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| 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.