MICHAEL J. GORETSKY M.D. NPI 1467466961

NPI Information

NPI: 1467466961
Provider Name: MICHAEL J. GORETSKY, M.D.
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

PECOS Registration: Yes

Address:
601 CHILDRENS LN
NORFOLK, VA
ZIP 23507
Phone: (757) 668-7703
Get Directions

Michael J. Goretsky, M.D. is a pediatric surgery surgery in Norfolk, VA. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Michael J. Goretsky, M.D. NPI is 1467466961. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

601 CHILDRENS LN
NORFOLK, VA
ZIP 23507-910
Phone: (757) 668-7703

The NPI 1467466961 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 12/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0120X	Surgery	Pediatric Surgery	2014-02561	NORTH CAROLINA	No
2	2086S0120X	Surgery	Pediatric Surgery	0101225774	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	280541	OTHER	VIRGINIA	MAMSI/OPTIMUM CHOICE
2	3116108340003E	OTHER	VIRGINIA	CIGNA
3	311610834	OTHER	VIRGINIA	NC HEALTH CHOICE
4	7712078	OTHER	VIRGINIA	AETNA
5	006704441	MEDICAID	VIRGINIA
6	1467466961	MEDICAID	NORTH CAROLINA
7	NC2352	MEDICAID	SOUTH CAROLINA
8	26053	OTHER	VIRGINIA	OPTIMA/SENTARA HEATLH
9	280541	OTHER	VIRGINIA	ALLIANCE/MDIPA
10	89063AN	OTHER	VIRGINIA	NORTH CAROLINA MEDICAID
11	89063AN	MEDICAID	NORTH CAROLINA
12	216623	OTHER	VIRGINIA	ANTHEM BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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