Look up the most recent NPI and PECOS records

Haeshik Gorr

Internal Medicine

Allopathic & Osteopathic Physicians

550 S Jackson St, Louisville, KY 40202-1622

PECOS Enrollment

Based on the most recent information from CMS, provider Haeshik Gorr is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1821083478
Provider Type
Individual
Full Name
Gorr, Haeshik
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
9/20/2005
Last Updated
12/24/2019

Contact Information

Practice Location

550 S Jackson St, Louisville, KY 40202-1622

(502) 562-6510

(502) 562-6515

Mailing Location

701 Park Ave, Minneapolis, MN 55415-1623

(612) 873-3000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 51712 Minnesota

Provider Identifiers

ID	Description	Issuer
ID 64324627	Description Medicaid	Issuer Unlisted Kentucky

Haeshik Gorr

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

University Of Louisville Research Foundation

Davis, Paul

Mcmullin, Malik

Patel, Sahil

University Of Louisville Physicians, Inc.

Alwakeedi, Adel Mohammed

Medical Center Internists, Psc

Gordon, Kaitlin

Lewis, Barbara Kathleen

Rivera Matos, Lucia