Russell S Gornichec MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

RUSSELL S GORNICHEC MD PC

Practice address

3433 NW 56TH St
Suite 970
Oklahoma City, OK 73112-4455

Phone

(405) 713-4450

Fax

(405) 713-4449

NPI assigned

Jul 23, 2009

Last updated

Dec 3, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Kim Gornichec

Title

Office Manager

Phone

(405) 713-4450

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1871723833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 NW 56TH ST",
            "address_2": "SUITE 970",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124455",
            "telephone_number": "405-713-4450",
            "fax_number": "405-713-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 NW 56TH ST",
            "address_2": "SUITE 970",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124455",
            "telephone_number": "405-713-4450",
            "fax_number": "405-713-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL S GORNICHEC MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "GORNICHEC",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-713-4450",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00013588",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.