Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark E Gormley, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1558392068

Mark E Gormley, MD is a Physical Medicine and Rehabilitation in Saint Paul, Minnesota. Graduated from University of Louisville School of Medicine in 1987, 39 years ago. Practices with Gillette Childrens Specialty Healthcare, a 102-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
39
Trained at
University of Louisville School of Medicine
Licensed in
MN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 University Ave E
Saint Paul, MN 55101-2507
Phone: (651) 229-3819
Fax: (651) 265-7443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 36551 (MN)

Record details

NPI number1558392068
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 5, 2006
Last updated in NPPESMarch 31, 2015
Mailing address200 University Ave E, Saint Paul, MN 55101-2507

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice Gillette Childrens Specialty Healthcare — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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