Michael W Gorum (NPI# 1174685101, PAC ID# 8426134578) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1174685101 |
| PAC ID by PECOS | 8426134578 |
| Professional Enrollment ID | I20160819001482 |
| Full Name | Michael W Gorum |
| Organization Legal Name | SOUTHEAST BRAIN AND SPINE SURGERY PC |
| Address |
240 Devall Dr Suite 201 Auburn AL 36849-0001 |
| Phone Number | 7063219300222 |
| Gender | M |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 3870563604 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110064 | MIDTOWN MEDICAL CENTER |
| 110200 | NORTHSIDE MEDICAL CENTER |
| 010029 | EAST ALABAMA MEDICAL CENTER AND SNF |
| 110129 | ST FRANCIS HOSPITAL |
| 110016 | WEST GEORGIA MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 240 Devall Dr, Suite 201, Auburn, AL 36849-0001 | 7063219300222 | SOUTHEAST BRAIN AND SPINE SURGERY PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | SOUTHEAST BRAIN AND SPINE SURGERY PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc S Goldman | Neurosurgery | Southeast Brain and Spine Surgery PC | 1538 13th Ave, Columbus, GA 31901-1956 |
| Joseph W Clemmons | Physician Assistant | Southeast Brain and Spine Surgery PC | 1538 13th Ave, Columbus, GA 31901-1956 |
| Nicholas Hempeck | Neurosurgery | Southeast Brain and Spine Surgery PC | 1538 13th Ave, Columbus, GA 31901-1956 |
| Juliet M Walker | Physician Assistant | Southeast Brain and Spine Surgery PC | 1538 13th Ave, Columbus, GA 31901-1956 |
| Street Address |
240 DEVALL DR SUITE 201 |
| City | AUBURN |
| State | AL |
| Zip | 36849-0001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Sandage | Qualified Speech Language Pathologist | Auburn University | 1199 Haley Ctr, Auburn University, AL 36849-5235 |
| Kelli M Watts | Qualified Audiologist | Auburn University | 1199 Haley Ctr, Auburn University, AL 36849-5235 |
| Larry Andrew Wise | Qualified Audiologist | Auburn University | 1199 Haley Ctr, Auburn University, AL 36849-5235 |
| Kara Schall | Qualified Speech Language Pathologist | Auburn University | 1199 Haley Ctr, Auburn University, AL 36849-5235 |
| Kathleen Lea | Qualified Audiologist | Auburn University | 1199 Haley Ctr, Auburn University, AL 36849-5235 |
| Laura Bryce Willis | Speech Language Pathologist | Auburn University | 1199 Haley Ctr, Auburn University, AL 36849-5235 |
| Marsha Kluesing | Audiologist | Auburn University | 1199 Haley Ctr, Auburn University, AL 36849-5235 |
| Elizabeth Zylla Jones | Speech Language Pathologist | Auburn University | 1199 Haley Ctr, Auburn University, AL 36849-5235 |
| Erin Reynolds | Audiologist | Auburn University | 1199 Haley Ctr, Auburn University, AL 36849-5235 |
| Lindsey Piazza | Speech Language Pathologist | Auburn University | 1199 Haley Ctr, Auburn University, AL 36849-5235 |
| Find all physicians in zip 36849 | |||
| City | AUBURN |
| Zip Code | 36849 |
| Specialty | NEUROSURGERY |
| City + Specialty | AUBURN + NEUROSURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.