MR. MARK D GORMAN (NPI# 1578773982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578773982 |
| Entity Type | Individual |
| Full Name | MR. MARK D GORMAN |
| Credential | CCP |
| Practice Address |
1501 N Campbell Ave Tucson AZ 85724-5071 |
| Mailing Address |
7589 W Sugar Ranch Rd Tucson AZ 85743-1454 |
| Practice Telephone | 5206265332 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 242T00000X | Perfusionist | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174725998 | Mark J. Gorman | Psychologist | 51 Performance Dr., Weymouth, MA 02189 | 2007-06-04 |
| 1750452025 | Mark W. Gorman | Counselor | 3233 E Memorial Rd, Ste. 110, Edmond, OK 73013-7082 | 2006-11-10 |
| 1134229487 | Mark C Gorman | Dentist | 3045 Smith Road, Suite 600, Fairlawn, OH 44333 | 2006-09-25 |
| 1780680165 | Mark Richard Gorman | Podiatrist | 15425 N Greenway Hayden Loop, A300, Scottsdale, AZ 85260-1204 | 2005-06-22 |
| 1831192343 | Mark Neal Gorman | Nurse Anesthetist, Certified Registered | 1818 Broadway St, Port Lavaca, TX 77979-5301 | 2005-05-30 |
| 1306157490 | Mark P Gorman | Physical Therapist | 57 Bedford St, Ste 202, Lexington, MA 02420-4500 | 2010-06-23 |
| 1881636017 | Mark Patrick Gorman | Psychiatry & Neurology | 300 Longwood Ave, Department of Neurology - Children's Hospital Boston, Boston, MA 02115-5724 | 2006-06-12 |
| 1891765418 | Mark Jeffrey Gorman | Psychiatry & Neurology | 49 Spring St, Scarborough, ME 04074-8926 | 2006-01-25 |
| Street Address |
1501 N CAMPBELL AVE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85724-5071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285631481 | Rebecca Adele Millius | Family Medicine | 1501 N Campbell Ave, Tucson, AZ 85724-5085 | 2005-07-01 |
| 1730707373 | Ilaria Vittoria De Martini | Radiology | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-07-09 |
| 1427671239 | Rinku Skaria | Student in an Organized Health Care Education/Training Program | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-27 |
| 1801419452 | Kevin Joseph Moynahan | Internal Medicine | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-18 |
| 1912529710 | Jared Holley | Surgery | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-14 |
| 1558983502 | Jon Hyrum Neilson II | Pediatrics | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-13 |
| 1588286819 | Alexander Michael Mckitrick | Surgery | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-08 |
| 1003437575 | Ashley Azizi Assadi | Pediatrics | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-06 |
| 1003437872 | Mohammed Abbas | Orthopaedic Surgery | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-02 |
| 1578184420 | Savannah Nicole Davis | Pediatrics | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568025617 | Caronae Howell | Surgery | University of Arizona/vascular Surgery Section, 1501 N. Campbell Ave., Room 4402, Tucson, AZ 85724 | 2019-04-15 |
| 1881183143 | Bradley Bohman | Internal Medicine | 1501 N. Campbell Ave, Room 6336, Tucson, AZ 85724 | 2018-05-02 |
| 1255780789 | Elly Varma | Internal Medicine | 1501 N Campbell Avenue Com Room 6336, Department of Medicine, Tuscon, AZ 85724 | 2016-06-06 |
| 1295183234 | Elise Vo | Internal Medicine | 1501 N. Campbell- Room 6336, Tucson, AZ 85724 | 2016-06-01 |
| 1730575101 | Colin A. West | Emergency Medicine | Banner University Medical Center Tucson, 1501 N. Campbell Ave., Tucson, AZ 85724 | 2015-04-12 |
| 1023403623 | Laura Elizabeth Bach | Internal Medicine | 1501 N Campbell Ave Rm 6402, Tucson, AZ 85724 | 2015-03-31 |
| 1174939623 | Jawad Bilal | Internal Medicine | 1501 N Campbell Ave Rm 8339, Tucson, AZ 85724 | 2014-07-05 |
| 1447678016 | Kimberly Schmelzle Winsor | Student in an Organized Health Care Education/Training Program | 1501 N, Campbell Ave., Tucson, AZ 85724 | 2014-04-01 |
| 1710299276 | Jeffrey M Rice | Neurological Surgery | 1501 North Campbell Avenue, University of Arizona, Tucson, AZ 85724 | 2010-07-12 |
| 1558698464 | University of Arizona | General Acute Care Hospital | U of A Health Sciences Center - Umc Pediatrics, Campbell Ave, Tucson, AZ 85724 | 2009-11-13 |
| Find all providers in zip 85724 | ||||
| Taxonomy Code | 242T00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Perfusionist |
| A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient’s circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. |
| Notes: Source: Health Professions Career and Education Directory, American Medical Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730398199 | Victoria Dotson | Perfusionist | 1501 N. Campbell Av #4402, Tucson, AZ 85724 | 2007-05-22 |
| 1881735876 | Dennis Glenn Bressler | Perfusionist | 2251 N Indian Ruins Rd, Suite C, Tucson, AZ 85715-5331 | 2007-02-11 |
| 1972921161 | Elise Schoonmaker | Perfusionist | 2251 N Indian Ruins Rd, Suite C, Tucson, AZ 85715-5331 | 2014-04-03 |
| 1962825125 | Victor Valencia | Perfusionist | 2251 N Indian Ruins Rd, Tucson, AZ 85715-5331 | 2014-01-23 |
| 1225348360 | Palo Verde Perfusion Inc. | Perfusionist | 2251 N Indian Ruins Rd, Ste C, Tucson, AZ 85715-5331 | 2010-10-07 |
| 1801113782 | Marie Fouts | Perfusionist | 2251 N Indian Ruins Rd, #c, Tucson, AZ 85715-5331 | 2010-04-30 |
| 1902071616 | Stacy Dunaway | Perfusionist | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2008-04-23 |
| 1720291677 | Lance Butler Gatewood | Perfusionist | 1501 N Campbell Ave, Tucson, AZ 85724-5071 | 2007-05-08 |
| 1003028317 | Douglas Frank Larson | Perfusionist | 1501 N Campbell Ave, Suite 4402 Arizona Health Science Center, Tucson, AZ 85724-0001 | 2007-05-07 |
| 1467665695 | Christopher Tyler Mogan | Perfusionist | 1501 N Campbell Ave, Dept of Ct Surgery, Tucson, AZ 85724-0001 | 2007-05-07 |
| Find all providers in TUCSON | ||||
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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.