DR. MARK JEFFREY GORMAN (NPI# 1891765418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891765418 |
Entity Type | Individual |
Full Name | DR. MARK JEFFREY GORMAN |
Credential | MD |
Practice Address |
49 Spring St Scarborough ME 04074-8926 |
Mailing Address |
300 Southborough Dr Suite 201 South Portland ME 04106-6914 |
Practice Telephone | 2078831414 |
Mailing Telephone | 2076612000 |
Mailing Fax Number | 2076612033 |
Enumeration Date | 2006-01-25 |
Last Update Date | 2016-11-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD21232 | ME | Allopathic & Osteopathic Physicians |
Y | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
MD21232 | ME | Allopathic & Osteopathic Physicians |
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 |
1578773982 | Mark D Gorman | Perfusionist | 1501 N Campbell Ave, Tucson, AZ 85724-5071 | 2007-05-23 |
1881636017 | Mark Patrick Gorman | Psychiatry & Neurology | 300 Longwood Ave, Department of Neurology - Children's Hospital Boston, Boston, MA 02115-5724 | 2006-06-12 |
Street Address |
49 SPRING ST |
City | SCARBOROUGH |
State | ME |
Zip Code | 04074-8926 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386643476 | Michael A Binette | Orthopaedic Surgery | 49 Spring St, Scarborough, ME 04074-8926 | 2005-07-20 |
1487134284 | Amanda R Schlosky | Physician Assistant | 49 Spring St, Scarborough, ME 04074-8926 | 2018-08-21 |
1245692375 | Stephanie Chan | Physical Medicine & Rehabilitation | 49 Spring St, Scarborough, ME 04074-8926 | 2016-03-28 |
1952787954 | Bram Newman | Physical Medicine & Rehabilitation | 49 Spring St, Scarborough, ME 04074-8926 | 2015-08-03 |
1972911659 | David J. Spach | Physician Assistant | 49 Spring St, Scarborough, ME 04074-8926 | 2014-07-26 |
1073926176 | Allyson Crasnick | Nurse Practitioner | 49 Spring St, Scarborough, ME 04074-8926 | 2014-06-05 |
1063851004 | Lauren Delprato | Physical Medicine & Rehabilitation | 49 Spring St, Scarborough, ME 04074-8926 | 2013-06-24 |
1447694435 | Michael J Valentine | Physician Assistant | 49 Spring St, Scarborough, ME 04074-8926 | 2013-04-22 |
1851643548 | Margaretta Byrne | Registered Nurse | 49 Spring St, Scarborough, ME 04074-8926 | 2012-10-05 |
1346504545 | Evdokia Eleftheriou | Internal Medicine | 49 Spring St, Scarborough, ME 04074-8926 | 2012-07-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407462443 | Jennifer Marlowe | Counselor | Crossroads Maine 71-us-1, Scarborough, ME 04074 | 2020-09-16 |
1508475724 | Whole Medicine LLC | Family Medicine | 2o Mussey Road, Suite 2, Scarborough, ME 04074 | 2020-07-23 |
1154957793 | Maria Robin Libby | Occupational Therapist | 144 Us-1 #4, Scarborough, ME 04074 | 2020-03-16 |
1558902932 | Daphne Berta Counseling P.C. | Counselor | 636 Route 1, Scarborough, ME 04074 | 2019-10-07 |
1619450574 | Louise Valati | Physical Therapist | Piper Shores, 15 Piper Road, Scarborough, ME 04074 | 2018-09-07 |
1770001315 | Emily Dunuwila | Massage Therapist | 51 Us Route One Suite R2, Scarborough, ME 04074 | 2017-09-04 |
1750808788 | Jill Daicey Hutchison | Physical Therapy Assistant | 67 Pine Point Road, Scarborough, ME 04074 | 2017-08-30 |
1457887580 | Rebecca Shaw | Social Worker | 119 Ash Swamp Road, Scarborough, ME 04074 | 2017-05-10 |
1184168767 | Jessica Ann Kaake | Occupational Therapist | 308 Us Route 1 Ste E1, Scarborough, ME 04074 | 2016-12-15 |
1356895056 | Nancy Gaudet | Counselor | 6 Catherine Drive, Scarborough, ME 04074 | 2016-08-10 |
Find all providers in zip 04074 |
Taxonomy Code | 2084V0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Vascular Neurology |
Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811332836 | Miguel Lorenzo Silva Litao | Psychiatry & Neurology | 498 Essex St Ste 105, Bangor, ME 04401-3990 | 2013-05-03 |
City | SCARBOROUGH |
Zip Code | 04074 |
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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.