DR. RUSSELL S GORNICHEC (NPI# 1437121860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437121860 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL S GORNICHEC |
| Credential | MD |
| Practice Address |
501 W Grand Ave Hot Springs AR 71901 |
| Mailing Address |
501 W Grand Ave Hot Springs AR 71901-3931 |
| Practice Telephone | 5017810772 |
| Practice Fax Number | 5017814000 |
| Mailing Telephone | 5017810772 |
| Mailing Fax Number | 5017814000 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2019-08-02 |
| NPI Deactivation Date | 02/19/2019 |
| NPI Reactivation Date | 2019-06-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 01077212A | IN | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | E7873 | AR | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 21488 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100827130B | 05 | |
| IN | AETNA | 7008146 | 01 |
| IN | ANTHEM | 1021531 | 01 |
| AR | 201233001 | 05 | |
| KY | KY PASSPORT | 50113964 | 01 |
| OK | RAILROAD MEDICARE | P00013588 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1373 E Sr 62, Madison, IN 47250 | 8128010840 | 8128010024 |
| Street Address |
501 W GRAND AVE |
| City | HOT SPRINGS |
| State | AR |
| Zip Code | 71901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972875367 | Russell S Gornichec Md PC | Surgery | 501 W Grand Ave, Hot Springs, AR 71901-3931 | 2012-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346878303 | Hot Springs Ambulatory Surgery Center, LLC | Clinic/Center | 148 Sawtooth Oak St, Hot Springs, AR 71901 | 2020-03-27 |
| 1114558285 | Patrick Michael Westerman | Physical Therapist | 2122 Malvern Ave, Suite 5, Hot Springs, AR 71901 | 2020-01-28 |
| 1013416601 | Cheryl Kuhn | Counselor | 1820 Central Ave. Ste. B, Hot Springs, AR 71901 | 2018-02-08 |
| 1841711744 | Bonnie Lee | Case Manager/Care Coordinator | 240 Matthews Dr Apt A2, Hot Springs, AR 71901 | 2017-06-29 |
| 1699221457 | Belvedere Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 2600 Park Avenue, Hot Springs, AR 71901 | 2016-08-31 |
| 1639558398 | Jamie L. Summers Stacks, Pa | Counselor | 100 Ridgeway Ave, Suite 1, Hot Springs, AR 71901 | 2015-05-27 |
| 1831435452 | Wpm Community Pharmacies, LLC | Pharmacist | 105 Sawtooth Oak Street, Hot Springs, AR 71901 | 2012-12-31 |
| 1467759159 | Karissia Dawson | Counselor | 100 Ridgeway St Ste 5, Hot Springs, AR 71901 | 2011-02-16 |
| 1407172331 | Summit Dental, Inc | Dentist | 1421 Central Avenue, Hot Springs, AR 71901 | 2010-04-16 |
| 1609190826 | Mindy Gallegos | Nurse Practitioner | 102 Chippewa Ct, Hot Springs, AR 71901 | 2010-03-17 |
| Find all providers in zip 71901 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164772323 | Marco Vinicio Medina-zea | Surgery | 1 Mercy Ln Ste 201, Hot Springs, AR 71913-6457 | 2012-09-14 |
| 1669705216 | Margaret Fry Longo | Surgery | 231 Osprey Drive, Hot Springs, AR 71913 | 2009-09-15 |
| 1467606400 | Grover W Bedeau | Surgery | 27150 Memorial Rd, Hot Springs, SD 57747-7510 | 2008-11-04 |
| 1891906111 | Robert Lee Hill Jr. | Surgery | 190 Taylor Pl, Hot Springs, AR 71901-7737 | 2007-05-25 |
| 1972875367 | Russell S Gornichec Md PC | Surgery | 501 W Grand Ave, Hot Springs, AR 71901-3931 | 2012-02-01 |
| 1316171945 | Zachary S Larrimer | Surgery | One Mercy Lane, 201, Hot Springs, AR 71913-6457 | 2009-05-11 |
| 1932386646 | Christian A Latham | Surgery | 1900 Malvern Ave, Suite 302, Hot Springs, AR 71901-7759 | 2008-01-24 |
| 1437342052 | Kimberly M Jackman | Surgery | One Mercy Lane, Suite 201, Hot Springs, AR 71913-6441 | 2007-08-27 |
| 1578671756 | Steven J Halter | Surgery | 1 Mercy Ln, Suite 201, Hot Springs, AR 71913-6442 | 2006-08-28 |
| 1790718799 | Healthfirst Physicians of Arkansas | Surgery | 1662 Higdon Ferry Road, Suite 230, Hot Springs, AR 71913-6912 | 2006-07-10 |
| Find all providers in HOT SPRINGS | ||||
| City | HOT SPRINGS |
| Zip Code | 71901 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.