MICHAEL CHRISTOPHER O'GORMAN (NPI# 1700852407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700852407 |
Entity Type | Individual |
Full Name | MICHAEL CHRISTOPHER O'GORMAN |
Credential | M.D. |
Practice Address |
90 Libbey Pkwy Suite 100 South Shore Hospital Center for Wound Healing Weymouth MA 02189 |
Mailing Address |
10 Tuckers Way Harwich MA 02645-1976 |
Practice Telephone | 7816244950 |
Practice Fax Number | 8778929770 |
Mailing Telephone | 4137688531 |
Enumeration Date | 2006-02-23 |
Last Update Date | 2014-07-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | 72633 | MA | Allopathic & Osteopathic Physicians |
Y | 208600000X | Surgery | 72633 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 9708995 | 05 | |
MA | 3065308 | 05 |
Street Address |
90 LIBBEY PKWY SUITE 100 SOUTH SHORE HOSPITAL CENTER FOR WOUND HEALING |
City | WEYMOUTH |
State | MA |
Zip Code | 02189 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205300985 | M. Taylor Fontneau | Nurse Practitioner | 90 Libbey Industrial Pkwy Ste 106, Weymouth, MA 02189 | 2019-01-16 |
1336668011 | Svetlana Chentsova | Nurse Practitioner | 51 Performance Dr Fl Drive, Weymouth, MA 02189 | 2017-09-14 |
1518487818 | Dana Shepherd | Specialist/Technologist | 163 Libbey Industrial Parkway, Suite 302, Weymouth, MA 02189 | 2017-06-27 |
1063867802 | Gerald F. Finerty IIi | Nurse Anesthetist, Certified Registered | 163 Libbey Pkwy Ste 301, Weymouth, MA 02189 | 2016-04-29 |
1417326604 | Ocean State Urgent Care | Physician Assistant | 119 Liberty Bell Cir, Weymouth, MA 02189 | 2015-09-18 |
1558746636 | Jaime Hill | Nurse Practitioner | 31 Charles Street, Weymouth, MA 02189 | 2015-07-30 |
1780865337 | James Tyler Carpenter | Psychologist | Neurobehavioral Associates, 169 Libbey Parkway, 2nd Floor, Weymouth, MA 02189 | 2007-11-23 |
1508054248 | Anita Nathan Shukla | Ophthalmology | 97 Libbey Industrial Parkway, Suite 100, E. Weymouth, MA 02189 | 2007-10-09 |
1164618757 | Mahesh Pandey | Internal Medicine | Dana Farber Community Cancer Care, 51 Performance Drive, Suite 110, Weymouth, MA 02189 | 2007-09-18 |
1750573887 | Michele Donlon | Speech-Language Pathologist | 163 Libbey Industrial Pkwy Ste 302, Weymouth, MA 02189 | 2007-08-13 |
Find all providers in zip 02189 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548403165 | Cristina Carpio | Surgery | 51 Performance Drive/entry Two 3rd Floor, Brigham and Women's Surgical Associates, Weymouth, MA 02189-0000 | 2009-04-13 |
1164649315 | Sp Ganguly Md PC | Surgery | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2007-04-19 |
1427006097 | Christian Hobart Corwin | Surgery | 51 Performance Dr, Weymouth, MA 02189-3141 | 2006-05-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639776123 | Dalton Medical Group LLC | Surgery | 352 Main St Unit 6, Falmouth, MA 02540-3175 | 2020-10-07 |
1689281610 | Cornell Medical LLC | Surgery | 200 Unicorn Park Dr Ste 302, Woburn, MA 01801-3342 | 2020-09-24 |
1164051868 | Daniele Abela | Surgery | 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 | 2020-04-04 |
1427546365 | New England Hernia Center LLC | Surgery | 20 Research Pl Ste 130, North Chelmsford, MA 01863-2455 | 2018-04-26 |
1255869731 | Yurie Sekigami | Surgery | 800 Washington St, Box 437, Boston, MA 02111-1552 | 2017-05-30 |
1194263046 | Wound Care Specialists | Surgery | 785 Williams St # 172, Longmeadow, MA 01106-2063 | 2017-02-10 |
1932550670 | Asish C Misra | Surgery | 110 Francis St, Suite 9b, Beth Israel Deaconess - Surgical Education, Boston, MA 02215 | 2016-06-23 |
1306295225 | Michael Hong Jr. | Surgery | 100 Jersey St Apt 601, Boston, MA 02215-4806 | 2016-06-10 |
1043666548 | North Suburban Surgical Associates | Surgery | 191 Clifton St, Belmont, MA 02478-2603 | 2016-05-13 |
1295110971 | Benjamin Grajales Mdpc | Surgery | 50 Memorial Dr Ste 204, Leominster, MA 01453-2238 | 2015-07-23 |
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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.