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Contact Information

PATRICK D GORMAN, MD
2985 CORTEZ AVE
IDAHO FALLS, ID83404-2985
 Phone: 208-523-3373
 Fax: 208-523-8746
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PATRICK D GORMAN · (Male)

NPI # 1295735769
Status Active
Credentials MD
Entity Individual
Enumeration date 07/27/2005
Last updated 11/17/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M-8388
  • ID License # M8388
  • MD License # F86110
  • ID Medicaid 806232000
  • WY Medicaid 118682500
  • Other 46763 BC OF IDAHO
  • Other 000010136417 BS OF IDAHO
  • Other 1103740 CIGNA
  • Other 060067151 RAILROAD MEDICARE
  • WY Other 118682500 EDS CONSULTEC, INC.
Hospital affiliation(s)
  • EASTERN IDAHO REGIONAL MEDICAL CENTER - (Acute Care)
    3100 CHANNING WAY
    IDAHO FALLS, ID 83404
  • LOST RIVERS DISTRICT HOSPITAL - (Critical Access)
    551 HIGHLAND DRIVE
    ARCO, ID 83213
  • MOUNTAIN VIEW HOSPITAL - (Acute Care)
    2325 CORONADO STREET
    IDAHO FALLS, ID 83404
  • TETON VALLEY HOSPITAL - (Critical Access)
    252 SOUTH MAIN STREET
    VICTOR, ID 83455
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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