JEROME L GORSKI (NPI# 1164432720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164432720 |
| Entity Type | Individual |
| Full Name | JEROME L GORSKI |
| Credential | MD |
| Practice Address |
402 N Keene St Ste 101 Columbia MO 65201-6986 |
| Mailing Address |
Po Box 7687 Columbia MO 65205-7687 |
| Practice Telephone | 5738826921 |
| Practice Fax Number | 5738821154 |
| Mailing Telephone | 5738822259 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2011-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
4301049958 | MI | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 2206028760 | MO | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 4301049958 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 206268807 | 05 | |
| MI | 1736383 | 05 |
| Street Address |
402 N KEENE ST STE 101 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-6986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326036252 | Dawn Peck | Genetic Counselor, MS | 402 N Keene St, Suite 101, Columbia, MO 65201-6986 | 2005-10-13 |
| 1720649742 | Mackenzie Joy Giunio-zorkin | Obstetrics & Gynecology | 402 N Keene St, Columbia, MO 65201-6986 | 2019-06-21 |
| 1861986218 | Jennifer Alice Mitchell | Obstetrics & Gynecology | 402 N Keene St, Columbia, MO 65201-6986 | 2018-06-19 |
| 1457845810 | Taylor Kay Swanson | Obstetrics & Gynecology | 402 N Keene St, Columbia, MO 65201-6986 | 2018-06-19 |
| 1265926612 | Alex Richard Finlinson | Obstetrics & Gynecology | 402 N Keene St, Columbia, MO 65201-6986 | 2018-06-19 |
| 1285164756 | Marlana Michelle Mcdowell | Obstetrics & Gynecology | 402 N Keene St, Columbia, MO 65201-6986 | 2017-06-15 |
| 1336679802 | Kirby Alyson Woodall | Obstetrics & Gynecology | 402 N Keene St, Columbia, MO 65201-6986 | 2017-06-15 |
| 1700316270 | Stacey Gwen Johnson | Obstetrics & Gynecology | 402 N Keene St, Columbia, MO 65201-6986 | 2017-06-15 |
| 1912454364 | Marisa Maher | Nurse Practitioner | 402 N Keene St, Columbia, MO 65201-6986 | 2016-09-01 |
| 1417338211 | Stephanie Anne Johnson | Obstetrics & Gynecology | 402 N Keene St, Columbia, MO 65201-6986 | 2015-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
| Find all providers in zip 65201 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972128742 | Emily Anne Cloessner | Pediatrics | Prisma Health Childrens Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-06-08 |
| 1043833890 | Lauren F. Cook | Pediatrics | Prisma Health Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-05-27 |
| 1619598158 | Zeel Hiren Patel | Pediatrics | Childrens Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-05-06 |
| 1427695824 | Naseem Khan | Pediatrics | 10851 Clarksville Pike, Columbia, MD 21044-1338 | 2019-12-04 |
| 1164089124 | Mercy Clinic Illinois, LLC | Pediatrics | 1019 Valmeyer Rd, Columbia, IL 62236-4123 | 2019-05-24 |
| 1629568480 | Heather Kay Lynn | Pediatrics | Pediatric Outpatient Clinic, 1801 Sunset Drive, Columbia, SC 29203 | 2018-05-16 |
| 1174013932 | Dalton Mark Renick | Pediatrics | Pediattric Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2018-05-16 |
| 1033630330 | Brian Bradley Johnson | Pediatrics | Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2017-06-28 |
| 1316350226 | Duncan Lee Norton | Pediatrics | 14 Medical Park, Ste 400, Children's Hospital Outpatient Center, Columbia, SC 29203 | 2014-06-09 |
| 1225440910 | Michael Mitchell | Pediatrics | 14 Medical Park Ste 400, Pediatric Clinic, Columbia, SC 29203 | 2014-05-29 |
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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.