Active NPI
Gordon Uretsky, MD
- Family Medicine Physician
- Henderson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G0226
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040610000460 | TX | Practitioner - Family Practice | 1951384080 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Medical School at Houston, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Henderson Hospital LLCEast Texas Medical Center HendersonHenderson Memorial Hospital
Practice addresses (Care Compare)
300 Wilson St
Henderson, TX 75652-5956
Phone (903) 655-6536
Hospital & facility affiliations
- Ut Health East Texas Henderson Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henderson Hospital, LLC | Current | Accepting new patients | |
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| Henderson Hospital, LLC | Current | Accepting new patients | |
| Henderson Hospital, LLC | Current | Accepting new patients | |
| Etmc Physician Group Inc. | Current | 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 | Past | Accepting new patients | |
| Longview Wellness Center Inc | Family Medicine | Past | 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
- 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.
-
- General Acute Care Hospital
- Henderson, TX
- NPI 1326546797
-
- Rural Health Clinic/Center
- Henderson, TX
- NPI 1952800310
-
- Rural Health Clinic/Center
- Chandler, TX
- NPI 1235706581
-
- Certified Registered Nurse Anesthetist
- Henderson, TX
- NPI 1639670466
-
- Emergency Medicine Physician
- Tyler, TX
- NPI 1326082892
-
- Critical Access Hospital
- Quitman, TX
- NPI 1396748430
-
- Rural Health Clinic/Center
- Grand Saline, TX
- NPI 1447615943
-
- Federally Qualified Health Center (FQHC)
- Longview, TX
- NPI 1255137659
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Longview, TX
- NPI 1447910542
Family Medicine
-
- Health Service Clinic/Center
- Gladewater, TX
- NPI 1912174111
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.