Elzbieta E Gornisiewicz, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD36594 Issued in TN

Practice address

988 Oak Ridge Tpke
Suite 300
Oak Ridge, TN 37830-6930

Phone

(865) 481-0333

Fax

(865) 482-9614

NPI assigned

Oct 6, 2005

Last updated

Nov 11, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in TN, ME, WV3 enrollments

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 3

Specialty

Neurology

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

York HospitalGroup PAC ID 6406766781, 202 clinicians

West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• York Hospital Hospital, York, ME, CCN 200020
• Camden Clark Medical Center Hospital, Parkersburg, WV, CCN 510058

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.

• West Virginia University Medical Corporation

  dba University Health Associates

  • Family Medicine Physician
  • Morgantown, WV
  • NPI 1275504508

  Neurology

  Medicare reassignment Care Compare group NPD
• York Hospital

  • General Acute Care Hospital
  • York, ME
  • NPI 1376528398

  Neurology

  Medicare reassignment Care Compare group NPD
• Covenant Medical Group, Inc.

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1457302010

  Neurology

  Medicare reassignment NPD
• Covenant Medical Group, Inc

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
  • NPI 1871269415
  NPD
• Seacoast Pathology Inc

  • Clinical Medical Laboratory
  • Exeter, NH
  • NPI 1154651230
  NPD
• West Virginia University Medical Corporation

  dba Crisis Support and Recovery Center

  • Community/Behavioral Health Agency
  • Martinsburg, WV
  • NPI 1174233530
  NPD
• Roane County Medical Center

  dba Covenant Health Roane

  • General Acute Care Hospital
  • Harriman, TN
  • NPI 1700036696
  NPD (past)
• Neurology Associates of York Hospital

  • Neurology Physician
  • York, ME
  • NPI 1124293345
  NPD (past)

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

• Camden Clark Memorial Hospital Corporation

  • General Acute Care Hospital
  • Parkersburg, WV
  • NPI 1508160268
  Care Compare affiliation
• Camden Clark Memorial Hospital Corporation

  dba Camden Clark Medical Center

  • General Acute Care Hospital
  • Parkersburg, WV
  • NPI 1699704254
  Care Compare affiliation
• York Hospital

  • General Acute Care Hospital
  • York, ME
  • NPI 1376528398
  Care Compare affiliation

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226361600000",
    "number": "1740277565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988 OAK RIDGE TPKE",
            "address_2": "SUITE 300",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306930",
            "telephone_number": "865-481-0333",
            "fax_number": "865-482-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "988 OAK RIDGE TPKE",
            "address_2": "SUITE 300",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306930",
            "telephone_number": "865-481-0333",
            "fax_number": "865-482-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORNISIEWICZ",
        "first_name": "ELZBIETA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2008-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "MD36594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130025933",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740277565",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roger Neil Goggans, NP
• Ami Michelle Goins, FNP
• Traci A. Golbach, PHD
• Beronica Renee Goodman
• Patricia Holly Gordon
• Venkata C Gourineni, MD
• Jeffrey John Grabenstein, M.D.
• Sean Patrick Grace, MD
• Kristi Michelle Granger McLaughlin, DPT
• Daniel Scott Graves, M.D.

• 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 Nov 11, 2008; 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.

Verify at the official NPI Registry.