CONNOR J GORMAN PA-C NPI 1851000731

NPI Information

  • NPI: 1851000731
  • Provider Name: CONNOR J GORMAN, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 20860 N TATUM BLVD STE 290
    PHOENIX, AZ
    ZIP 85050
  • Phone: (480) 563-1144

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NPI Details

Connor J Gorman, PA-C is a medical physician assistant in Phoenix, AZ with 3 years of experience. Connor J Gorman, PA-C NPI is 1851000731. 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:

20860 N TATUM BLVD STE 290
PHOENIX, AZ
ZIP 85050-282
Phone: (480) 563-1144
Fax: (480) 563-2371

The NPI 1851000731 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 11/18/2022 and was last updated on 7/17/2023.

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
1332B00000XDurable Medical Equipment & Medical Supplies7057360001ARIZONANo
2332B00000XDurable Medical Equipment & Medical Supplies70349500001ARIZONANo
3332B00000XDurable Medical Equipment & Medical Supplies7209350001ARIZONANo
4332B00000XDurable Medical Equipment & Medical Supplies7046960001ARIZONANo
5332B00000XDurable Medical Equipment & Medical Supplies7047150001ARIZONANo
6332B00000XDurable Medical Equipment & Medical Supplies7939960001ARIZONANo
7332B00000XDurable Medical Equipment & Medical Supplies7629170001ARIZONANo
8332B00000XDurable Medical Equipment & Medical Supplies8220410001ARIZONANo
9363AM0700XPhysician AssistantMedical9559ARIZONAYes
10332B00000XDurable Medical Equipment & Medical Supplies704516001ARIZONANo

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: 3/30/2025

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