DR. WENDELL JOSEPH GORUM II (NPI# 1659379469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659379469 |
| Entity Type | Individual |
| Full Name | DR. WENDELL JOSEPH GORUM II |
| Credential | MD |
| Practice Address |
1503 Gravesend Neck Rd Brooklyn NY 11229-4428 |
| Practice Telephone | 7184793303 |
| Practice Fax Number | 6465696993 |
| Mailing Telephone | 7184793303 |
| Mailing Fax Number | 6465696993 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2016-04-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 248330 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03078360 | 05 |
| Street Address |
1503 GRAVESEND NECK RD |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11229-4428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588192835 | Manhattan Quality Podiatry PC | Podiatrist | 1503 Gravesend Neck Rd, Brooklyn, NY 11229-4428 | 2017-05-31 |
| 1972915577 | Lydia Regis | Podiatrist | 1503 Gravesend Neck Rd, Brooklyn, NY 11229-4428 | 2014-05-30 |
| 1568709285 | W Joseph Gorum Md PC | Orthopaedic Surgery | 1503 Gravesend Neck Rd, Brooklyn, NY 11229-4428 | 2013-01-15 |
| 1750529277 | Barkan Medical Services, PC | Internal Medicine | 1503 Gravesend Neck Rd, Brooklyn, NY 11229-4428 | 2009-01-22 |
| 1013026277 | Faraj Gadee | Internal Medicine | 1503 Gravesend Neck Rd, Brooklyn, NY 11229-4428 | 2006-08-30 |
| 1326057787 | Anatole Barkan | Internal Medicine | 1503 Gravesend Neck Rd, Brooklyn, NY 11229-4428 | 2006-08-05 |
| 1487670436 | Thomas Gerard Larkin | Orthopaedic Surgery | 1503 Gravesend Neck Rd, Brooklyn, NY 11229-4428 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063041291 | Nastasia Shygaieva | Counselor | 2 Ivan Court, House, Brooklyn, NY 11229 | 2020-04-08 |
| 1700430253 | Nicole Komisar | Case Manager/Care Coordinator | 2148 Ocean Avenu Suite 302, Brooklyn, NY 11229 | 2019-08-01 |
| 1639723950 | Refuah Diagnostics LLC | Technician | 1988 East 22nd Street, Ground Floor, Brooklyn, NY 11229 | 2019-07-25 |
| 1235792987 | Igor Kulishov | Counselor | 1623 Kings Highway, Brooklyn, Ny 11229, Brooklyn, NY 11229 | 2019-04-18 |
| 1477016145 | Natalia Roth | Nurse Practitioner | Visiting Nurse Service of New York, 1630 East 15 St, 3 Fl, NY 11229 | 2019-04-10 |
| 1942769930 | 1st Care Nj LLC | Case Management | 3919 Bedford Ave, Brooklyn, NY 11229 | 2019-03-18 |
| 1689138505 | Expert Home Care, Inc. | Home Health Aide | 1906 Kings Highway, 2nd Floor, Brooklyn, NY 11229 | 2019-01-24 |
| 1881167732 | Luba's Homecare Inc. | Home Health | 2518 Ocean Ave., Cellar Floor, Brooklyn, NY 11229 | 2019-01-03 |
| 1073084216 | Gem Therapy LLC | Early Intervention Provider Agency | 1674 East 19th Street, 2fl, Brooklyn, NY 11229 | 2018-12-16 |
| 1316412356 | Rina Barkhordarzadeh | Speech-Language Pathologist | 1925 Stuart Street, Brooklyn, NY 11229 | 2018-10-05 |
| Find all providers in zip 11229 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659819522 | W Medical Care PC | Orthopaedic Surgery | 3423 Guider Ave, Brooklyn, NY 11235-5271 | 2017-02-10 |
| 1679884613 | Raghava Rao Polavarapu,mdpc | Orthopaedic Surgery | 55 Greene Ave Ste 2c, Brooklyn, NY 11238-6432 | 2010-06-24 |
| 1114162146 | David M. Edelstein, Md, PC | Orthopaedic Surgery | 2382 East 13 Street, Brooklyn, NY 11229-4306 | 2008-12-04 |
| 1053512574 | Aditya Vikram Maheshwari | Orthopaedic Surgery | 450 Clarkson Ave Box 30, Deptt of Orthopedics, Suny Down State Medical Center, Brooklyn, NY 11203-2012 | 2007-05-31 |
| 1760537336 | Alan M Crystal | Orthopaedic Surgery | 974 52nd St, Brooklyn, NY 11219-4002 | 2007-01-24 |
| 1427100247 | Flatlands Orthopedic Medical Care, P.C. | Orthopaedic Surgery | 4526 Flatlands Ave, Brooklyn, NY 11234-3011 | 2007-01-18 |
| 1235292574 | Igor Rubinshteyn | Orthopaedic Surgery | 3049 Ocean Pkwy Fl 2, Brooklyn, NY 11235-8395 | 2006-12-18 |
| 1033287628 | Daniel W Wilen | Orthopaedic Surgery | 9202 Fort Hamilton Parkway, Brooklyn, NY 11209 | 2006-12-01 |
| 1659447399 | Jack Choueka | Orthopaedic Surgery | 6010 Bay Pkwy Fl 7, Brooklyn, NY 11204-6079 | 2006-11-27 |
| 1033219951 | Kingsway Orthopedic Professional Corporation | Orthopaedic Surgery | 3156 Kings Hwy, Brooklyn, NY 11234-2616 | 2006-09-22 |
| Find all providers in BROOKLYN | ||||
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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.