Dr. Michael Gorn
Pediatrician Emergency Physician Pediatric Emergency Physician
4900 Mueller Blvd
Austin
, Texas 78723-3079
Dr. Michael Gorn
Pediatrician Emergency Physician Pediatric Emergency Physician
4900 Mueller Blvd
Austin
, Texas 78723-3079
(512) 324-0000
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About
Features
Specialties
- Emergency Physician
- Pediatric Emergency Physician
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Michael Gorn
- 4900 Mueller Blvd
- Austin, TX
- Zip : 78723-3079
- Phone : (512) 324-0000
Second Address
- Dr. Michael Gorn
- 4900 Mueller Blvd
- Austin, TX
- Zip : 78723-3079
- Phone : (512) 324-0000
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Is Dr. Michael Gorn a sole practitioner?
Is Dr. Michael Gorn accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | Q1616 | TX |
| N | 207PP0204X | Pediatric Emergency Physician | 25MA08378700 | NJ |
| N | 208000000X | Pediatrician | 235853 | NY |
| N | 208000000X | Pediatrician | Q1616 | TX |
National Provider Identifier
| NPI | 1326138728 |
|---|---|
| Provider Name | Dr. Michael Gorn |
| First Address | Austin, TX 78723-3079 |
| Second Address | Austin, TX 78723-3079 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/10/2006 |
| Last Update Date | 14/05/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0034126 | MEDICAID PIN (01) | NJ |
| 342204001 | (05) | TX |
| 376604YLEX | MEDICARE PTAN (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.