DR. MARK RICHARD GORMAN D.P.M. NPI 1780680165

NPI Information

NPI: 1780680165
Provider Name: DR. MARK RICHARD GORMAN, D.P.M.
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
15425 N GREENWAY HAYDEN LOOP
A300
SCOTTSDALE, AZ
ZIP 85260
Phone: (480) 998-6079
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DR. Mark Richard Gorman, D.P.M. is a foot and ankle surgery podiatrist in Scottsdale, AZ with 58 years of experience. DR. Mark Richard Gorman, D.P.M. NPI is 1780680165. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:1966

The provider's business location address is:

15425 N GREENWAY HAYDEN LOOP
A300
SCOTTSDALE, AZ
ZIP 85260-204
Phone: (480) 998-6079
Fax: (602) 443-1698

The NPI 1780680165 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).

The enumeration date for this NPI number is 6/22/2005 and was last updated on 2/5/2015.

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	213ES0103X	Podiatrist	Foot & Ankle Surgery	0069	ARIZONA	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	T41659	MEDICARE UPIN	ARIZONA
2	0065330	OTHER	ARIZONA	BCBSAZ PROVIDER #
3	700444	OTHER	ARIZONA	AHCCCS
4	7076150001	MEDICARE NSC	ARIZONA

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: 11/14/2023

NPI Synchronization or Removal

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