Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467466961 Individual Practitioner Male Practitioner

Dr. Michael J. Goretsky , MD

Surgery - Pediatric Surgery • Norfolk, VA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Goretsky, MD is a registered healthcare professional specializing in Surgery - Pediatric Surgery in Norfolk, VA. Practice services are available at 601 CHILDRENS LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

601 Childrens Ln

Norfolk, VA 235071910

Telephone 7576687703
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Pediatric Surgery in Norfolk, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.4 Yrs
State Avg: 27.8 Yrs
Regional Practice Density
12 Specialists

Practicing in Norfolk, VA (38 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-12-18
Surgery - Pediatric Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0120X

State License VA 0101225774

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Surgery - Pediatric Surgery

NUCC Taxonomy Code: 2086S0120X

State License NC 2014-02561

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1467466961 (NC)
Medicaid State Provider ID
NC2352 (SC)
Medicaid State Provider ID
89063AN (NC)
Medicaid State Provider ID
006704441 (VA)
Commercial Insurance / Payer ID Optima/sentara Heatlh
26053 (VA)
Commercial Insurance / Payer ID Alliance/mdipa
280541 (VA)
Commercial Insurance / Payer ID North Carolina Medicaid
89063AN (VA)
Commercial Insurance / Payer ID Mamsi/optimum Choice
280541 (VA)
Commercial Insurance / Payer ID Anthem Bcbs
216623 (VA)
Commercial Insurance / Payer ID Cigna
3116108340003E (VA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Dr. Marcia Kuhn , MD

Surgery - Pediatric Surgery

NPI 1023022795

Doctor of Medicine (M.D.)

Kellianne Hawkins , CPNP

Nurse Practitioner - Pediatrics

NPI 1033779863

Certified Pediatric Nurse Practitioner

Nicole Baker , CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1104469733

CPNPPC

Dr. Robert Obermeyer , MD

Surgery - Pediatric Surgery

NPI 1104832542

Doctor of Medicine (M.D.)

Jamie Wood , CPNP

Nurse Practitioner - Pediatrics

NPI 1164772240

Certified Pediatric Nurse Practitioner

Jamie Golden

Surgery - Pediatric Surgery

NPI 1235420522

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location December 18, 2023

Registered at 601 CHILDRENS LN, NORFOLK, VA 235071910 (Tel: 7576687703)

📍
Updated Business Mailing Address December 18, 2023

Registered at 601 CHILDRENS LN, NORFOLK, VA 235071910 (Tel: 7576687703)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2023

Surgery (License #2014-02561 in NC)

NPI Profile Active November 16, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 16, 2016

Registered at 1025 MOREHEAD MEDICAL DR, SUITE 275, CHARLOTTE, NC 282042963 (Tel: 7044032662)

📍
Updated Business Mailing Address November 16, 2016

Registered at 1025 MOREHEAD MEDICAL DR, SUITE 275, CHARLOTTE, NC 282042963 (Tel: 7044032662)

👤
Provider Name / Credentials Updated November 16, 2016

Recorded as MICHAEL GORETSKY, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2016

Surgery (License #2014-02561 in NC)

🟢
Initial NPI Registration & Enumeration July 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467466961
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2006
Last Update: December 18, 2023
Sole Proprietor: No

Mailing Address

601 Childrens Ln

Norfolk, VA 235071910

Phone: 7576687703

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.