David P Gorczyca, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

7360 Issued in NV

Practice address

4101 Wagon Trail Ave
Las Vegas, NV 89118-4426

Phone

(702) 942-4123

Fax

(702) 942-4124

NPI assigned

Jan 6, 2006

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 3

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

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.

• Red Rock at Maryland Parkway LLC

  • Diagnostic Radiology Physician
  • Las Vegas, NV
  • NPI 1770686271
  NPD (past)
• Red Rock at Maryland Parkway LLC

  • Radiology Clinic/Center
  • Las Vegas, NV
  • NPI 1992811491
  NPD (past)
• Northern Virginia Radiology Consultants, PLLC

  • Diagnostic Radiology Physician
  • Arlington, VA
  • NPI 1942463625
  NPD (past)

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1508844713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT STE 202",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154536",
            "telephone_number": "877-406-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 WAGON TRAIL AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891184426",
            "telephone_number": "702-942-4123",
            "fax_number": "702-942-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORCZYCA",
        "first_name": "DAVID",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "7360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200290208",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "300054813",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE",
            "identifier": "NV7302",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Han Gopwani
• Jenny Marie Goral, OTR/L
• Yara Gorashi, MD
• Reza Goravanchi, M.D.
• Ilya Gorbachinsky, M.D.
• Kathryn Lynn Gorczyca
• Raymond F. Gorczyca, PA-C
• Stephanie Gorczyca, DDS
• Diana Gord
• Nathan Gord

• Diagnostic Radiology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Diagnostic Radiology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.