MARY J. GORMAN M.D. – NPI #1972576775
Internal Medicine

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

MARY GORMAN is a physician located in BRIDGETON, MO. NPPES has assigned the NPI number 1972576775 to MARY GORMAN on February 10, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RC0200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Critical Care Medicine

The NPI profile was previously updated about 17 years ago on Mar 23, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARY GORMAN below.

NPI Profile for
MARY J. GORMAN

NPI Number
1972576775
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MARY J. GORMAN
Credentials
M.D.
Primary location
12303 DEPAUL DRIVE
BRIDGETON, MO 63044-5536
Phone: (314) 344-6000 Fax: (314) 514-6020
Mailing address
999 EXECUTIVE PARKWAY DR
SUITE 320
SAINT LOUIS, MO 63141-6336
Phone: (314) 514-6000 Fax: (314) 514-6020
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0200X
- Internal Medicine / Critical Care Medicine (Primary)
MO R5G50

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.