Paul J Gurecki, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD23457 Issued in TN

Practice address

800 Oak Ridge Tpke
Suite C-260
Oak Ridge, TN 37830-6957

Phone

(865) 813-0300

Fax

(865) 813-0307

NPI assigned

Oct 6, 2005

Last updated

Feb 1, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Parkway Cardiology Associates P C

  • Cardiovascular Disease Physician
  • Oak Ridge, TN
  • NPI 1376590315
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1003804808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 VERMONT AVE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306474",
            "telephone_number": "865-482-4078",
            "fax_number": "865-482-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OAK RIDGE TPKE",
            "address_2": "SUITE C-260",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306957",
            "telephone_number": "865-813-0300",
            "fax_number": "865-813-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURECKI",
        "first_name": "PAUL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "MD23457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00311164",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3067777",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Grinstead, DMD
• Erik H Groscost, CRNA
• Pamela R Guider, APN, PMHNP, NP-PP
• Melissa Beth Gunter, OTR/L, CIMI
• Sejal Gupta
• Laura Guthrie, PT
• Robert Allen Hacker, DC
• Todd Hackney, O. D.
• Claudia Dale Hadden, FAMILY NURSE PRACTIT
• Claudette Robin Hager

• Neurology Physician in Oak Ridge, TN
• Providers in Oak Ridge, TN by specialty
• Neurology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.