Gary Svrakic Surak, MD
Individual provider Active NPI Pain Medicine Physician · Lucasville, OH
NPI 1780977967 · NPPES record last updated May 23, 2011
Key facts
- NPI
- 1780977967
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pain Medicine Physician 208VP0000X
- License
- 35060677 (OH)
- Practice address
- 10701 US 23 South
Lucasville, OH 45648 - Phone
- (740) 259-0300
- Fax
- (740) 259-6191
- NPI assigned
- May 23, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35060677 | OH | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Maintenance Partners, Inc. | Past | Accepting new patients | |
| University Hospitals Cleveland Medical Center | Past | Accepting new patients | |
| Brown Memorial Hospital | Past | Accepting new patients | |
| Memorial Hospital of Geneva | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| BMH Professional Corporation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 35060677 | OH | Yes |
Addresses
Primary practice location
10701 US 23 South
Lucasville, OH 45648
Mailing address
PO Box 1301
Portsmouth, OH 45662-1301
Phone (740) 259-0300
Other providers in Lucasville, OH
- Diana Slone
- Sarah Slone
- Jennifer Sommer
- Cassandra Dawn Sotelo
- Tracy L Strickland
- Dannette Swain
- Donna Marie Tackett
- Katrina Tackett
- Kimberly Tackett
- Tandem Health Care of Lucasville I, Inc.
All providers in Lucasville, OH · Pain Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.