JOSEPH D O'GORMAN (NPI# 1730178179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730178179 |
| Entity Type | Individual |
| Full Name | JOSEPH D O'GORMAN |
| Credential | D.O. |
| Practice Address |
4300b W Railroad St Gulfport MS 39501-2568 |
| Practice Telephone | 2288637393 |
| Practice Fax Number | 2288640546 |
| Mailing Telephone | 2288637393 |
| Mailing Fax Number | 2288640546 |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2010-12-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
13450 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 115334 | 05 | |
| RAILROAD MEDICARE | 390004123 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245389634 | Joseph O'gorman | Psychologist | 3802 Seneca St, West Seneca, NY 14224-3433 | 2007-01-09 |
| Street Address |
4300B W RAILROAD ST |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501-2568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801893243 | Amery Jean Creighton | Internal Medicine | 4300b W Railroad St, Gulfport, MS 39501 | 2005-06-30 |
| 1962950485 | Ashley Vinnett | Registered Nurse | 4300b W Railroad St, Gulfport, MS 39501-2568 | 2016-09-13 |
| 1679934624 | Carmen Carr | Nurse Practitioner | 4300b W Railroad St, Gulfport, MS 39501-2568 | 2016-03-17 |
| 1316172794 | Rachel Ann Slocum | Nurse Practitioner | 4300b W Railroad St, Gulfport, MS 39501-2568 | 2009-05-28 |
| 1528227527 | Erica H Hopkins | Internal Medicine | 4300b W Railroad St, Gulfport, MS 39501-2568 | 2008-06-04 |
| 1508876772 | Jedd Seigerman | Internal Medicine | 4300b W Railroad St, Gulfport, MS 39501 | 2006-08-09 |
| 1134168081 | South Mississippi Nephrology, Pllc | Internal Medicine | 4300b W Railroad St, Gulfport, MS 39501-2568 | 2006-06-06 |
| 1205825643 | Douglas C Lanier | Internal Medicine | 4300b W Railroad St, Gulfport, MS 39501-2568 | 2005-10-18 |
| 1902895352 | Edwin M Quinones | Internal Medicine | 4300b W Railroad St, Gulfport, MS 39501-2568 | 2005-10-18 |
| 1710976162 | Stephanie D Romero | Nurse Practitioner | 4300b W Railroad St, Gulfport, MS 39501 | 2005-10-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301632 | Daniel Edward Bloom | Physician Assistant | Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2019-11-25 |
| 1730721374 | Affinity Healthcare LLC | Non-emergency Medical Transport (VAN) | 1822 15th St, Suite 8, Gulfport, MS 39501 | 2019-10-15 |
| 1093361156 | Gulf Coast Companion Care, LLC | Home Health | 1314 Pass Road, Ste B, Gulfport, MS 39501 | 2019-08-14 |
| 1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
| 1225681216 | Murphy Chiropractic Gulfport, LLC | Clinic/Center | 2700 25th Ave., Gulfport, MS 39501 | 2019-07-19 |
| 1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
| 1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
| 1902294093 | Tangular Barnes | Nurse Practitioner | Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 | 2014-12-25 |
| 1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
| 1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
| Find all providers in zip 39501 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255763868 | Robert M Stote | Internal Medicine | 6210 Pasadena Point Blvd S, Gulfport, FL 33707-3873 | 2013-08-06 |
| 1629234463 | Biju Marath | Internal Medicine | 4300 W Railroad St, Suite B, Gulfport, MS 39501 | 2008-07-31 |
| 1841240231 | Khaled Mohamed | Internal Medicine | 4300 B West Railroad Street, Gulfport, MS 39501 | 2006-05-10 |
| 1801893243 | Amery Jean Creighton | Internal Medicine | 4300b W Railroad St, Gulfport, MS 39501 | 2005-06-30 |
| 1528372240 | Memorial Hospital At Gulfport | Internal Medicine | 4300 W Railroad St, Suite B, Gulfport, MS 39501-2568 | 2010-08-05 |
| 1134168081 | South Mississippi Nephrology, Pllc | Internal Medicine | 4300b W Railroad St, Gulfport, MS 39501-2568 | 2006-06-06 |
| 1205825643 | Douglas C Lanier | Internal Medicine | 4300b W Railroad St, Gulfport, MS 39501-2568 | 2005-10-18 |
| 1902895352 | Edwin M Quinones | Internal Medicine | 4300b W Railroad St, Gulfport, MS 39501-2568 | 2005-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813506 | Uma Mahesh Reddy Avula | Internal Medicine | 2500 N State St Rm L-504, Jackson, MS 39216-4500 | 2020-08-24 |
| 1992276851 | Delta Kidney Alliance LLC | Internal Medicine | 1997 N Medical Park Dr, Greenville, MS 38703-7268 | 2018-12-17 |
| 1649555467 | Cardiac Renal & Vascular Associates PC | Internal Medicine | 5240 Robinson Road Ext, Jackson, MS 39204-4276 | 2011-10-12 |
| 1275848889 | Memorial Hospital At Gulfport | Internal Medicine | 4405 E Aloha Dr, Suite 1, Diamondhead, MS 39525-3380 | 2010-08-09 |
| 1649585258 | Memorial Hospital At Gulfport | Internal Medicine | 784 Vieux Marche Mall, Biloxi, MS 39530-3822 | 2010-08-09 |
| 1184857534 | Angela Riley, Md, PC | Internal Medicine | 2170 South Lamar Blvd, Oxford, MS 38655 | 2009-09-02 |
| 1275766396 | Samir Gautam | Internal Medicine | 150 Jefferson Davis Blvd Ste 100, Natchez, MS 39120-5120 | 2009-08-24 |
| 1811171648 | South Mississippi Nephrology | Internal Medicine | 4405 E Aloha Dr Ste I, Diamondhead, MS 39525-3380 | 2007-12-28 |
| 1518149699 | Naseeruddin A Khan | Internal Medicine | 428 24th Ave N, Columbus, MS 39705-1945 | 2007-11-30 |
| 1053533406 | Richard Eric Miller | Internal Medicine | 513-c Brookman Dr, Brookhaven, MS 39601-2399 | 2007-05-03 |
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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.