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

Thomas R Van-Gorder, MD

Individual provider Orthopaedic Surgery Physician · NPI 1568486843

Thomas R Van-Gorder, MD is an Orthopedic Surgery in Johnson City, New York. Graduated from State University of New York at Buffalo School of Medicine in 1982, 44 years ago. Practices with Our Lady of Lourdes Memorial Hospital Inc, a 249-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
44
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

240 Riverside Dr
Johnson City, NY 13790-2732
Phone: (607) 798-9356
Fax: (607) 797-1707
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 155343-1 (NY)

Record details

NPI number1568486843
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 27, 2006
Last updated in NPPESApril 16, 2021
Certification dateMarch 24, 2021
Mailing address240 Riverside Dr, Johnson City, NY 13790-2732

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 1982 (44 years in practice)
Group practice Our Lady Of Lourdes Memorial Hospital Inc — 249 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Johnson City