Individual provider Active NPI

Gordon Uretsky, MD

  • Family Medicine Physician
  • Henderson, TX
National Provider Identifier
1477512820
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G0226 Issued in TX
Practice address
300 Wilson St
Henderson, TX 75652-5956
Phone
(903) 655-6536
Fax
(903) 657-6072
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G0226 TX Primary

Addresses

Primary practice location

300 Wilson St
Henderson, TX 75652-5956

Mailing address

300 Wilson St
Henderson, TX 75652-5956
Phone (903) 655-6536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610000460 TX Practitioner - Family PracticePractitioner - Emergency Medicine 1951384080 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Texas Medical School at Houston, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henderson Hospital LLCGroup PAC ID 4789946054, 11 clinicians
East Texas Medical Center HendersonGroup PAC ID 9234288861, 11 clinicians
Henderson Memorial HospitalGroup PAC ID 9739159682, 11 clinicians

Practice addresses (Care Compare)

300 Wilson St
Henderson, TX 75652-5956
Phone (903) 655-6536

Hospital & facility affiliations

  • Ut Health East Texas Henderson Hospital Hospital, Henderson, TX, CCN 450475

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson Hospital, LLC CurrentSince Mar 1, 2018 Accepting new patients
Etmc Physician Group Inc. CurrentSince Mar 1, 2018 Accepting new patients
Henderson Hospital, LLC Current Accepting new patients
Henderson Hospital, LLC CurrentSince Mar 1, 2018 Accepting new patients
Etmc Physician Group Inc. CurrentSince Mar 1, 2018 Accepting new patients
East Texas Medical Center Quitman Past Accepting new patients
Longview Wellness Center Inc Family Medicine Past Accepting new patients
East Texas Medical Center Quitman PastSince Feb 10, 2010 Accepting new patients
Longview Wellness Center Inc Family Medicine PastSince Jan 2, 2022 Accepting new patients
East Texas Medical Center Healthcare Associates Past Accepting new patients
Phynet, Inc. Past Accepting new patients

Locations

409 Cottage Rd
Carthage, TX 75633
Phone (903) 693-3841

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

300 Wilson St
Henderson, TX 75652
Phone (903) 655-6536

501 S Ragsdale St
Jacksonville, TX 75766
Phone (903) 541-5000

117 N Winnsboro St
Quitman, TX 75783
Phone (903) 763-4505

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

6210 S Broadway Ave
Tyler, TX 75703
Phone (903) 579-2700

901 Turtle Creek Dr
Tyler, TX 75701
Phone (903) 594-2418

719 W Coke Rd
Winnsboro, TX 75494
Phone (903) 342-3961

Interoperability endpoints

  • Direct secure messaging: guretsky355082@ahs.direct-ci.com

Organizations & group practices 12

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268956800000",
    "number": "1477512820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WILSON ST",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756525956",
            "telephone_number": "903-655-6536",
            "fax_number": "903-657-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WILSON ST",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756525956",
            "telephone_number": "903-655-6536",
            "fax_number": "903-657-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URETSKY",
        "first_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2010-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G0226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, TX

Sources for this page

Verify at the official NPI Registry.