DR. MATTHEW WILLIAM GORMAN (NPI# 1770874117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770874117 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW WILLIAM GORMAN |
| Credential | M.D. |
| Practice Address |
8100 W 78th St Ste. 230 Edina MN 55439-2516 |
| Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
| Practice Telephone | 9529469777 |
| Mailing Telephone | 6122625000 |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 55294 | MN | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
55294 | MN | Allopathic & Osteopathic Physicians |
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
55294 | MN | Allopathic & Osteopathic Physicians |
| 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 |
| 1518189471 | Matthew E Gorman | Internal Medicine | 739 Irving Ave, Suite 500, Syracuse, NY 13210-1640 | 2007-05-02 |
| 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 |
8100 W 78TH ST STE. 230 |
| City | EDINA |
| State | MN |
| Zip Code | 55439-2516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841273927 | Thomas Anthony Kiff | Specialist/Technologist | 8100 W 78th St, 225, Edina, MN 55439-2516 | 2005-11-22 |
| 1326524414 | Angela Esther Koich | Specialist/Technologist | 8100 W 78th St, Edina, MN 55439-2516 | 2018-07-12 |
| 1811351471 | Rachel Spika | Specialist/Technologist | 8100 W 78th St, Suite 225, Edina, MN 55439-2516 | 2016-04-11 |
| 1700260379 | Melissa Haupt | Specialist/Technologist | 8100 W 78th St, Suite 230, Edina, MN 55439-2516 | 2015-07-14 |
| 1487037909 | Bryce Mikel | Internal Medicine | 8100 W 78th St, Edina, MN 55439 | 2015-07-01 |
| 1609260413 | Michael Hall | Specialist/Technologist | 8100 W 78th St, Suite #230, Edina, MN 55439-2516 | 2015-03-19 |
| 1740673854 | Kylene Hoeft | Specialist/Technologist | 8100 W 78th St, Suite 230, Edina, MN 55439-2516 | 2015-03-13 |
| 1902297591 | Katie Lynn Sjostrom | Specialist/Technologist | 8100 W 78th St, Suite 225, Edina, MN 55439-2516 | 2015-02-18 |
| 1073904496 | Sabrina Siple | Physician Assistant | 8100 W 78th St, Suite 225, Edina, MN 55439-2516 | 2015-02-06 |
| 1205241825 | Anna Karoline Stephens Lange | Internal Medicine | 8100 W 78th St, Edina, MN 55439-2516 | 2014-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773601 | Bryan James Jaquette | Specialist/Technologist | Alina Health, 8100 West 78th Street, Suite 225, Edina, MN 55439 | 2020-09-04 |
| 1063034411 | Joseph E Noble | Marriage & Family Therapist | 7801 East Bush Lake Road, Suite 130, Edina, MN 55439 | 2020-05-08 |
| 1316421050 | Global Kinetics Usa Corporation | Physiological Laboratory | 5810 West 78th Street, Suite 210, Bloomington, MN 55439 | 2018-09-19 |
| 1003361601 | Zainab Ismail Hassan | Community Health Worker | 5400 W. 70th St # 207, Edina, MN 55439 | 2016-08-24 |
| 1861852287 | Global Linguistics Inc | Interpreter | 5535 Oak Glen Rd, Edina, MN 55439 | 2016-02-26 |
| 1063889616 | Lindsey Mackereth | Counselor | 7117 Ohms Ln, Edina, MN 55439 | 2015-08-31 |
| 1851706105 | Holly Beth Gaudreau | Specialist/Technologist | 8100 W 78th St., Suite 225, Edina, MN 55439 | 2014-06-25 |
| 1841504792 | Michelle R Aumock | Physician Assistant | 8100 W 78th Street, Ste 230, Edina, MN 55439 | 2010-08-03 |
| 1770812174 | Heather Lynn Hanson Grudzinski | Counselor | 7400 Metro Blvd #100-6, Edina, MN 55439 | 2009-12-14 |
| 1548599319 | Catasys Health Minnesota, Inc. | Case Management | 7825 Washington Avenue South, Suite 500, Pmb# 600-005, Bloomington, MN 55439 | 2009-12-08 |
| Find all providers in zip 55439 | ||||
| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| 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 |
|---|---|---|---|---|
| 1134380686 | Brian Glenn Labine | Internal Medicine | 8100 W 78th St, #230, Edina, MN 55439-2516 | 2008-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720030752 | C. Andrew Hunt | Internal Medicine | 8100 Northland Dr, Bloomington, MN 55431 | 2006-05-17 |
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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.