DR. JENNIFER LYNN GURSKI (NPI# 1487705026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487705026 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER LYNN GURSKI |
| Credential | M.D. |
| Practice Address |
650 Joel Dr Fort Campbell KY 42223 |
| Mailing Address |
9040 Jackson Ave Madigan Healthcare System, Attn: Mchj-cls-u Tacoma WA 98431-1100 |
| Practice Telephone | 2707988403 |
| Mailing Telephone | 2539682300 |
| Mailing Fax Number | 2539682895 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2019-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 23912 | NE | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9040 Jackson Ave, Madigan Healthcare System, Attn: Mchj-cls-u, Apo, AA 984311100 | 2539682300 | 2539682895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619201084 | Jennifer Gurski | Social Worker | 53 W. Jackson Blvd, Chicago, IL 60604 | 2009-10-01 |
| Street Address |
650 JOEL DR |
| City | FORT CAMPBELL |
| State | KY |
| Zip Code | 42223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982601803 | Carol Lynn Pasewark | Counselor | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2005-07-07 |
| 1568063519 | Jeremy Schadewald | Physician Assistant | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-11-05 |
| 1578164760 | Brandi Mangan | Nurse Practitioner | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-11-04 |
| 1912506692 | Rose Dunn | Optometrist | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-10-22 |
| 1659989440 | Patrick Ogden | Student in an Organized Health Care Education/Training Program | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-07-17 |
| 1487262408 | John William Zamora | Physician Assistant | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-07-15 |
| 1295343218 | Joshua Ryan Agard | Physician Assistant | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-07-15 |
| 1902424435 | Shaina Escribano-miranda | Nurse Practitioner | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-07-10 |
| 1326665514 | Cristal Lagail Trotter | Nurse Anesthetist, Certified Registered | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-07-03 |
| 1689209728 | William James Bradshaw | Physician Assistant | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978825 | Eden Addisu Kebede | Social Worker | Ft. Campbell/bach, 650 Joel Drive, Fort Campbell, KY 42223 | 2020-09-30 |
| 1174134662 | Lucas Pepper | Dentist | Desert Storm Ave, Bldg 5580, Apo, AA 42223 | 2020-08-10 |
| 1639711203 | Travis Robert Bryant | Optometrist | 5979 Desert Storm Ave., Lapointe Health Clnic Optometry, Ft. Campbell, KY 42223 | 2019-10-15 |
| 1184138232 | Vanessa Renee Simmons | Dental Assistant | 302b Baker St, Fort Campbell, KY 42223 | 2017-11-28 |
| 1922451996 | Isabella Julson | Dental Assistant | Bldg2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-07-14 |
| 1336595305 | Heidi Cameron | Acupuncturist | 2889b Idaho Avenue, Fort Campbell, KY 42223 | 2016-05-10 |
| 1649644154 | Nathan Silvey | Physician Assistant | Building 4179, Fort Campbell, KY 42223 | 2015-11-20 |
| 1396145306 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 2403, Air Assault St and Indiana Ave, Fort Campbell, KY 42223 | 2014-08-27 |
| 1275948564 | Rodney C Merkley | Psychologist | Building 3929, Ft. Capmbell, KY 42223 | 2014-06-25 |
| 1659785053 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 6747 A Shau Valley Road, Fort Campbell, KY 42223 | 2014-06-13 |
| Find all providers in zip 42223 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952874463 | Zeus Urological Services Southeast Kentucky Urology | Urology | 123 N 19th St Ste 203, Middlesboro, KY 40965-2865 | 2019-01-07 |
| 1124559190 | Nadia Gabriela Romero | Urology | 800 Rose St Rm Mn-283, Lexington, KY 40536 | 2017-03-22 |
| 1700297728 | Ahmed Haddad | Urology | 401 East Chestnut Street, #480, Louisville, KY 40202-9110 | 2014-05-13 |
| 1831533843 | Andrew Todd | Urology | 793 Eastern Byp Ste 101, Richmond, KY 40475-2425 | 2013-04-20 |
| 1053656991 | Baptist Health Richmond, Inc. | Urology | 1013 Center Drive, #5, Richmond, KY 40475-2407 | 2012-12-04 |
| 1962757187 | Daniel James Warburton | Urology | 1301 Pleasant Valley Rd Ste 302, Owensboro, KY 42303-9774 | 2012-07-14 |
| 1184915373 | Kellen Bo Yung Choi | Urology | 401 E Chestnut St Unit 480, Louisville, KY 40202-5704 | 2011-04-22 |
| 1922397033 | Alison Marie Rasper | Urology | Uk Urology 740 S Limestone Ste B200, Lexington, KY 40536-1522 | 2011-03-30 |
| 1699084731 | Lexington Unique Care Inc | Urology | 2628 Wilhite Dr, Lexington, KY 40503 | 2010-10-06 |
| 1659691053 | Ali Mahmoud Ziada | Urology | Urology Univ of Ky Med Ctr 800 Rose St, Room Ms 237, Lexington, KY 40536-0298 | 2010-06-08 |
| Find all providers with the same taxonomy | ||||
| City | FORT CAMPBELL |
| Zip Code | 42223 |
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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.