JOHN MICHAEL GORLOWSKI (NPI# 1740274729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740274729 |
| Entity Type | Individual |
| Full Name | JOHN MICHAEL GORLOWSKI |
| Credential | M.D. |
| Practice Address |
761 Johnsonburg Rd Suite 360 St Marys PA 15857-3483 |
| Practice Telephone | 8147818677 |
| Practice Fax Number | 8147818246 |
| Mailing Telephone | 8147818677 |
| Mailing Fax Number | 8147818246 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2008-04-23 |
| NPI Deactivation Date | 03/24/2006 |
| NPI Reactivation Date | 2006-03-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
MD056208-L | PA | Allopathic & Osteopathic Physicians |
| N | 291U00000X | Clinical Medical Laboratory | 024093 | PA | Laboratories |
| Street Address |
761 JOHNSONBURG RD SUITE 360 |
| City | ST MARYS |
| State | PA |
| Zip Code | 15857-3483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578628806 | Lei Chen | Obstetrics & Gynecology | 761 Johnsonburg Rd, St Marys, PA 15857-3480 | 2006-12-27 |
| 1225138696 | St Marys Womens Health Care PC | Obstetrics & Gynecology | 761 Johnsonburg Rd, Ste 220, St Marys, PA 15857 | 2006-09-25 |
| 1699722231 | Joseph & Subramany, Inc. | Specialist | 761 Johnsonburg Rd, Suite 130, St Marys, PA 15857-3483 | 2006-05-28 |
| 1205885944 | Donald Henry Rudick | Specialist | 761 Johnsonburg Rd, Suite 350, St Marys, PA 15857-3483 | 2006-05-09 |
| 1336120146 | Megen Handley | Nurse Practitioner | 761 Johnsonburg Rd, Suite 310, St Marys, PA 15857-3483 | 2005-11-09 |
| 1447231378 | Ted Brubaker Eshbach | Orthopaedic Surgery | 761 Johnsonburg Rd, Suite 310, St Marys, PA 15857-3483 | 2005-11-08 |
| 1821085044 | Elk Regional Professional Group, Inc | Physical Therapist | 761 Johnsonburg Rd, Suite 310, St Marys, PA 15857-3483 | 2005-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255813945 | Emily Gregory | Occupational Therapist | Elk Haven, 785 Johnsonburg Road, Saint Marys, PA 15857 | 2018-08-30 |
| 1902324395 | Kylee Jo Proudfit | Specialist/Technologist | 575 Charles Street, Saint Marys, PA 15857 | 2017-09-06 |
| 1760829212 | Joshua Aaron Kuleck | Social Worker | 801 South Michael St., Cen Clear Child Services, Saint Marys, PA 15857 | 2013-05-23 |
| 1326215146 | St Marys Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 21 S Saint Marys St, Saint Marys, PA 15857 | 2008-05-12 |
| 1801075924 | James L Hackett Jr. | Internal Medicine | 1114 Windfall Road, St Marys, PA 15857 | 2007-10-25 |
| 1427261098 | Mary Kay O'conor | Radiologic Technologist | 346 Church St, St Marys, PA 15857 | 2007-05-08 |
| 1538205976 | Kelley A Mohney | Occupational Therapy Assistant | 211 Eckert Rd., St. Marys, PA 15857 | 2007-01-30 |
| 1851443824 | Joseph Jude Hawkins | Dentist | 1141 South Michael Road, St Marys, PA 15857 | 2007-01-18 |
| 1124190731 | Charles Richard Haskell Sr. | Dentist | 106 Wehler Road, Saint Marys, PA 15857 | 2006-11-15 |
| 1235229170 | Sharon Zaffarese-dippold | Social Worker | 145 Lafayette St Apt 1, Saint Marys, PA 15857 | 2006-10-13 |
| Find all providers in zip 15857 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516279 | Stc Pediatrics LLC | Pediatrics | 3601 A St Fl Family, Philadelphia, PA 19134-1043 | 2020-07-23 |
| 1386288702 | Advocare, LLC | Pediatrics | 2000 Hamilton St Ste 109, Philadelphia, PA 19130-3847 | 2019-10-29 |
| 1881253011 | Main Street Pediatrics of Greater Scranton | Pediatrics | 247 Main St # Pa, Dickson City, PA 18519-1641 | 2019-06-11 |
| 1801232962 | St. Luke's Physician Group, Inc | Pediatrics | 208 Lifeline Rd Ste 201, Stroudsburg, PA 18360-6473 | 2013-05-16 |
| 1558676890 | Care Network Norristown | Pediatrics | 1340 Dekalb St Ste 4, Norristown, PA 19401-3434 | 2010-08-11 |
| 1831427319 | Ellis H Sacks | Pediatrics | 2138 Lombard St, Apt 3b, Philadelphia, PA 19146-1261 | 2009-11-23 |
| 1720250137 | North Pittsburgh Pediatrics and Adolescent | Pediatrics | 11676 Perry Hwy Ste 2204, Wexford, PA 15090-7202 | 2008-03-25 |
| 1780896514 | Cheryl A Duffy Md Inc | Pediatrics | 1914 Mercer Avenue, Farrell, PA 16121 | 2007-05-04 |
| 1265575955 | Providence Pediatrics, PC | Pediatrics | 338 Russell Avenue, Williamsport, PA 17701 | 2007-02-14 |
| 1972691103 | Pediatric Care Center PC | Pediatrics | 100 Neale Address, Mahoning Medical Center, Marion Center, PA 15759-0268 | 2006-10-11 |
| Find all providers with the same taxonomy | ||||
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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.