Philip Gurecki, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110004977 Issued in VA

Practice address

704 Thimble Shoals Blvd
Suite 700
Newport News, VA 23606-4544

Phone

(757) 873-2000

Fax

(757) 873-2003

NPI assigned

Jul 8, 2015

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 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Oyster Point Family Practice IncGroup PAC ID 9436137296, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052
• Sentara Careplex Hospital Hospital, Hampton, VA, CCN 490093
• Mary Immaculate Hospital Hospital, Newport News, VA, CCN 490041
• Riverside Walter Reed Hospital Hospital, Gloucester, VA, CCN 490130
• Riverside Smithfield Hospital Hospital, Smithfield, VA, CCN 490149

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: philipgurecki@opfp.allscriptsdirect.net

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.

• Oyster Point Family Practice, Inc

  • Family Medicine Physician
  • Newport News, VA
  • NPI 1790706661
  Medicare reassignment Care Compare group

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

• Mary Immaculate Hospital LLC

  • General Acute Care Hospital
  • Newport News, VA
  • NPI 1427064310
  Care Compare affiliation
• Riverside Hospital Inc

  • General Acute Care Hospital
  • Smithfield, VA
  • NPI 1366259863
  Care Compare affiliation
• Riverside Hospital Inc

  • General Acute Care Hospital
  • Newport News, VA
  • NPI 1366547747
  Care Compare affiliation
• Riverside Middle Peninsula Hospital Inc

  • General Acute Care Hospital
  • Gloucester, VA
  • NPI 1528162534
  Care Compare affiliation
• Sentara Hospitals

  • General Acute Care Hospital
  • Hampton, VA
  • NPI 1336109107
  Care Compare affiliation

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1811370869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 THIMBLE SHOALS BLVD",
            "address_2": "SUITE 700",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064544",
            "telephone_number": "757-873-2000",
            "fax_number": "757-873-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 THIMBLE SHOALS BLVD",
            "address_2": "SUITE 700",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064544",
            "telephone_number": "757-873-2000",
            "fax_number": "757-873-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURECKI",
        "first_name": "PHILIP",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-08",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110004977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811370869",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Divya Gumber, MD
• David P. Gunderlach, LMFT
• Jane Guo, PHARMD
• Niharika Gupta, DO
• Rahul Gupta
• Michael Ryan Gurnicke
• Mesheal Gurst
• Shar-Nequi Gusman
• Guy G. Levy, D.D.S. and Mayer G. Levy, D.D.S., P.C.
• Terry Ann Guyton-Smith, NP

• Medical Physician Assistant in Newport News, VA
• Providers in Newport News, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.