MICHAEL J. GORETSKY (NPI# 1467466961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467466961 |
| Entity Type | Individual |
| Full Name | MICHAEL J. GORETSKY |
| Credential | M.D. |
| Practice Address |
1025 Morehead Medical Dr Suite 275 Charlotte NC 28204-2963 |
| Practice Telephone | 7044032662 |
| Practice Fax Number | 7044032670 |
| Mailing Telephone | 7044032662 |
| Mailing Fax Number | 7044032670 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2016-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
2014-02561 | NC | Allopathic & Osteopathic Physicians |
| N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
0101225774 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | AETNA | 7712078 | 01 |
| SC | NC2352 | 05 | |
| VA | ALLIANCE/MDIPA | 280541 | 01 |
| VA | NORTH CAROLINA MEDICAID | 89063AN | 01 |
| VA | OPTIMA/SENTARA HEATLH | 26053 | 01 |
| VA | CIGNA | 3116108340003E | 01 |
| NC | 1467466961 | 05 | |
| VA | MAMSI/OPTIMUM CHOICE | 280541 | 01 |
| NC | 89063AN | 05 | |
| VA | 006704441 | 05 | |
| VA | ANTHEM BCBS | 216623 | 01 |
| VA | NC HEALTH CHOICE | 311610834 | 01 |
| Street Address |
1025 MOREHEAD MEDICAL DR SUITE 275 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204-2963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447257332 | David Iannitti | Surgery | 1025 Morehead Medical Dr, Ste 300, Charlotte, NC 28204-2963 | 2005-07-07 |
| 1336760628 | Victoria Cleveland | Physician Assistant | 1025 Morehead Medical Dr, Ste 300, Charlotte, NC 28204-2963 | 2020-04-28 |
| 1093349656 | Leah Carnick Ledford | Nurse Practitioner | 1025 Morehead Medical Dr, Ste 500 5th Floor, Charlotte, NC 28204-2963 | 2020-02-23 |
| 1700429222 | Mary Irvine | Nurse Practitioner | 1025 Morehead Medical Dr, Suite 600, Charlotte, NC 28204-2963 | 2019-10-28 |
| 1780231340 | Lauren Lover | Physician Assistant | 1025 Morehead Medical Dr, Ste 200, Charlotte, NC 28204-2963 | 2019-08-19 |
| 1760037634 | Lisa Johnston | Nurse Practitioner | 1025 Morehead Medical Dr, Suite 600, Charlotte, NC 28204-2963 | 2019-08-07 |
| 1104470392 | Claire Lawson | Nurse Practitioner | 1025 Morehead Medical Dr, Suite 600, Charlotte, NC 28204-2963 | 2019-07-26 |
| 1457904971 | Megan Cosgrove | Nurse Practitioner | 1025 Morehead Medical Dr, Suite 300, Charlotte, NC 28204-2963 | 2019-07-23 |
| 1629637061 | Lisa Dunton | Advanced Practice Midwife | 1025 Morehead Medical Dr, Ste 400, Charlotte, NC 28204-2963 | 2019-06-10 |
| 1194282061 | Amy Slana | Nurse Practitioner | 1025 Morehead Medical Dr, Ste 300, Charlotte, NC 28204-2963 | 2019-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
| 1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
| 1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
| 1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
| 1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
| 1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
| Find all providers in zip 28204 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225525538 | Jessica Marie Pierce | Surgery | 1900 Randolph Rd Ste 210, Charlotte, NC 28207-1106 | 2018-04-23 |
| 1346376423 | Daniel Andrew Bambini | Surgery | 1900 Randolph Rd., Ste. 210, Charlotte, NC 28207-1106 | 2007-02-26 |
| 1194157388 | Carolinas Physicians Network Inc | Surgery | 1025 Morehead Medical Dr, Ste 275, Charlotte, NC 28204-2963 | 2013-07-30 |
| 1275741076 | Graham Harvey Cosper | Surgery | 1900 Randolph Rd., Ste. 210, Charlotte, NC 28207-1106 | 2007-05-18 |
| 1174640163 | Pediatric Surgical Associates, P.a. | Surgery | 1900 Randolph Rd, Ste 210, Charlotte, NC 28207-1106 | 2007-03-23 |
| 1619012150 | Duncan Morton Jr. | Surgery | 1900 Randolph Rd, Suite 210, Charlotte, NC 28207-1106 | 2007-02-21 |
| 1922182492 | Andrew Schulman | Surgery | 1900 Randolph Road, Ste 210, Charlotte, NC 28207-1106 | 2006-10-24 |
| 1689763393 | Paul Kirshbom | Surgery | 1001 Blythe Blvd, Ste 200d, Charlotte, NC 28203-5866 | 2006-10-12 |
| 1154371151 | Steven Teich | Surgery | 1025 Morehead Medical Dr, Ste 275, Charlotte, NC 28204-2963 | 2006-05-11 |
| 1700840469 | John W Difiore | Surgery | 1025 Morehead Medical Dr, Suite 275, Charlotte, NC 28204-2963 | 2006-04-12 |
| Find all providers in CHARLOTTE | ||||
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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.