KENNETH C GORSON MD NPI 1275528192

Psychiatry & Neurology (Neurology) in Wellesley, MA

NPI 1275528192 Individual Male Years of Experience 33 Psychiatry & Neurology Neurology PECOS Enrolled Accepts Medicare Approved Payment

About KENNETH GORSON

Kenneth Gorson is a provider established in Wellesley, Massachusetts and his medical specialization is psychiatry & neurology (neurology) with more than 33 years of experience. He graduated from Albany Medical College Of Union University in 1988. The NPI number of Kenneth Gorson is 1275528192 and was assigned on September 2005. The practitioner's primary taxonomy code is 2084N0400X with license number 71107 (MA). The provider is registered as an individual and his NPI record was last updated 5 years ago.

Kenneth Gorson is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Kenneth Gorson is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

NPI

1275528192

Provider Name KENNETH C GORSON MD
Provider Location Address110 CEDAR ST WELLESLEY, MA 02481
Provider Mailing Address110 CEDAR ST WELLESLEY, MA 02481
GenderMale
NPI Entity TypeIndividual
Medical School NameALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year1988
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date09-16-2005
Last Update Date11-16-2016


Primary Taxonomy

Taxonomy Code2084N0400X
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
SpecializationNeurology
License No.71107
License StateMA
Taxonomy DescriptionA Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Business Address

KENNETH C GORSON MD
110 CEDAR ST
WELLESLEY, MA
ZIP 02481
Phone: (781) 591-8300
Fax: (781) 591-8320

Get Directions


Mailing Address

KENNETH C GORSON MD
110 CEDAR ST
WELLESLEY, MA
ZIP 02481
Phone: (781) 591-8300
Fax: (781) 591-8320



Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
F20212MEDICARE UPIN (02)
3095894MEDICAID (05)MA

Other Providers at the same location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154978336 NAOMI REED
Individual
Behavior Analyst110 CEDAR ST
WELLESLEY, MA 02481
(617) 467-4136
1194230276 KRISTINA WALLIN
Individual
Behavior Technician110 CEDAR ST
WELLESLEY, MA 02481
(617) 902-8393
1245766203 MELANIE BOYAC
Individual
Behavior Technician110 CEDAR ST
WELLESLEY, MA 02481
(617) 902-8393
1306210422THE ELLIOT LEWIS CENTER FOR MULTIPLE SCLEROSIS CARE LLC
Organization
Psychiatry & Neurology (Neurology)110 CEDAR ST SUITE 110
WELLESLEY, MA 02481
(781) 591-8300
1336752112 EMILY BLAKE
Individual
Behavior Analyst110 CEDAR ST
WELLESLEY, MA 02481
(508) 322-0323
1518474782 LAUREN GAYDOSH
Individual
Behavior Technician110 CEDAR ST
WELLESLEY, MA 02481
(617) 467-4136
1528584125 JESSICA MARIE EGAN
Individual
Developmental Therapist110 CEDAR ST
WELLESLEY, MA 02481
1588196380 SHAHANA SHAIKH
Individual
Behavior Analyst110 CEDAR ST
WELLESLEY, MA 02481
(617) 916-5573
1740276674 ELLEN S LATHI MD
Individual
Psychiatry & Neurology (Neurology)110 CEDAR ST STE 110
WELLESLEY, MA 02481
(781) 591-8300
1861927394 KATHERINE GREENE
Individual
Behavior Technician110 CEDAR ST SUITE 10
WELLESLEY, MA 02481
(617) 902-8393
1912552175 KELLY ANN DOHERTY
Individual
Behavior Technician110 CEDAR ST
WELLESLEY, MA 02481
(617) 467-4136

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
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?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.