DAVID E GORMAN (NPI# 1922029479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922029479 |
| Entity Type | Individual |
| Full Name | DAVID E GORMAN |
| Other Name | DAVID E RYAN-GORMAN |
| Credential | M.D. |
| Practice Address |
2651 South Ave W Village Healtlh Care Center Missoula MT 59804-6405 |
| Mailing Address |
2651 South Ave W Village Health Care Center Missoula MT 59804-6405 |
| Practice Telephone | 4067287388 |
| Mailing Telephone | 4063295623 |
| Mailing Fax Number | 4065437230 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2019-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 79029 | MT | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 7440 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0059585 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 900 N Orange St Ste 203, Missoula, MT 598022951 | 4063292954 | 4063273100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326378266 | David Keith Gorman | Registered Nurse | 5476 Starlight Dr N, Fort Worth, TX 76126-5241 | 2009-12-27 |
| 1942789797 | David Gerard Gorman | Technician | 4326 W. Cheyenne Ave (suite 100), North Las Vegas, NV 89032 | 2018-08-13 |
| 1639600026 | David Gorman | Behavior Technician | 668 3 Mile Rd Nw, Rear Ll Suite, Grand Rapids, MI 49544-8219 | 2017-03-27 |
| 1306129101 | David C. Gorman | Counselor | 545 Westminster St, Fitchburg, MA 01420-4727 | 2011-09-28 |
| 1326063637 | David G Gorman | Neurological Surgery | 1135 116th Ave Ne, Suite 200, Bellevue, WA 98004-4623 | 2006-07-13 |
| Street Address |
2651 SOUTH AVE W VILLAGE HEALTLH CARE CENTER |
| City | MISSOULA |
| State | MT |
| Zip Code | 59804-6405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811954662 | Community Nursing Inc. | Skilled Nursing Facility | 2651 South Ave W, Missoula, MT 59804-6405 | 2006-04-26 |
| 1831759844 | Kelsie Maricelli | Speech-Language Pathologist | 2651 South Ave W, Missoula, MT 59804-6405 | 2019-06-20 |
| 1477119352 | Viet Quoc Le | Occupational Therapist | 2651 South Ave W, Missoula, MT 59804-6405 | 2019-05-15 |
| 1275093817 | Martin Nelson Mcgeary | Physical Therapist | 2651 South Ave W, Missoula, MT 59804-6405 | 2019-03-20 |
| 1376002030 | Eryn Aston | Physical Therapy Assistant | 2651 South Ave W, Missoula, MT 59804-6405 | 2019-03-13 |
| 1093273740 | Megan Berg | Speech-Language Pathologist | 2651 South Ave W, Missoula, MT 59804-6405 | 2019-03-12 |
| 1447718416 | Joshua Ashton | Physical Therapy Assistant | 2651 South Ave W, Missoula, MT 59804-6405 | 2019-03-07 |
| 1518210152 | Cynthia Dawn Swidler | Specialist | 2651 South Ave W, Missoula, MT 59804-6405 | 2012-10-19 |
| 1144543646 | Halie Ewald | Occupational Therapist | 2651 South Ave W, Missoula, MT 59804-6405 | 2010-03-11 |
| 1538482153 | Blair Bliss | Occupational Therapy Assistant | 2651 South Ave W, Missoula, MT 59804-6405 | 2010-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019297 | Momentum Speech Therapy, PC | Speech-Language Pathologist | 9885 O'brien Creek Road, Missoula, MT 59804 | 2020-10-01 |
| 1033633037 | Marissa Clark | Genetic Counselor, MS | 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 | 2017-08-01 |
| 1104295245 | Scott Richter | Specialist/Technologist | 2892 Ringo Dr, Missoula, MT 59804 | 2015-09-18 |
| 1467860353 | Zachary Ueland | Pharmacist | 4000 Highway 93 South, Missoula, MT 59804 | 2014-07-24 |
| 1316378185 | Tracy Laurel Brothers | Counselor | 1305 Wyoming Street, Missoula, MT 59804 | 2013-12-04 |
| 1447683651 | Granite Pharmacy Missoula, LLC | Durable Medical Equipment & Medical Supplies | 2230 27th Ave. West, Suite 2, Missoula, MT 59804 | 2013-08-12 |
| 1871843953 | Autum Emerson Howell | Nurse Practitioner | 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 | 2012-09-14 |
| 1821353939 | Carlyn Doyle | Nurse Practitioner | 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804 | 2012-07-05 |
| 1396011961 | Patricia Jean Evans | Internal Medicine | 702 S.w. Higgins, First Choice Medical Clinic, Missoula, MT 59804 | 2012-03-28 |
| 1205126794 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 2732 South Ave West, Suite 202, Missoula, MT 59804 | 2011-04-18 |
| Find all providers in zip 59804 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194257865 | Christopher Hallberg | Family Medicine | 445 W Alder St, Missoula, MT 59802-4121 | 2017-03-31 |
| 1881051340 | Amber Leigh Guy | Family Medicine | 1830 N Dickens St Apt 4, Missoula, MT 59802-5005 | 2016-01-28 |
| 1861889024 | Andrew Scott Stritzke | Family Medicine | 2831 Fort Missoula Rd, Buidling 2, Ste 146, Missoula, MT 59804-7401 | 2015-04-24 |
| 1205084167 | Robert Franklin Stanchfield | Family Medicine | 77 Brookside Way, Missoula, MT 59802 | 2008-09-04 |
| 1144353707 | Sam A Wallace | Family Medicine | 341 W Pine St, Missoula, MT 59802-4119 | 2007-03-13 |
| 1639254709 | Timothy J Mccue | Family Medicine | 41 Wildground Ln, Missoula, MT 59802-3335 | 2006-10-26 |
| 1780769901 | Gregory D Hutton | Family Medicine | 1001 E Broadway St, Suite 10, Missoula, MT 59802-4970 | 2006-10-26 |
| 1568543106 | Harold Mark Coward | Family Medicine | 3700 S Russell St Ste 115, Missoula, MT 59801-8579 | 2006-10-18 |
| 1720171994 | Sandra Lauren Shepherd | Family Medicine | 2825 Fort Missoula Rd Ste 115, Missoula, MT 59804-7403 | 2006-10-02 |
| 1922106004 | James H Quirk Jr. | Family Medicine | 2230 North Reserve St, Missoula, MT 59808 | 2006-09-20 |
| Find all providers in MISSOULA | ||||
Please comment or provide details below to improve the information on DAVID E GORMAN.
| 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.