# DR. MICHAEL GORN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1326138728
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | Q1616 | TX | — |
| 207PP0204X | Pediatric Emergency Medicine (Emergency Medicine) Physician | 25MA08378700 | NJ | — |
| 208000000X | Pediatrics Physician | 235853 | NY | — |
| 208000000X | Pediatrics Physician | Q1616 | TX | — |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | Q1616 | TX | Yes |

## Other

- **Enumeration date:** 10/14/2006
- **Last updated:** 05/07/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0034126 | MEDICAID PIN | NJ |
| 05 | — | 342204001 | — | TX |
| 01 | — | 376604YLEX | MEDICARE PTAN | TX |