Gazenko Aesthetics LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

GAZENKO AESTHETICS LLC

Practice address

1007 W Main St Ste 2
Clarksville, AR 72830-3035

Phone

(479) 705-2310

Fax

(479) 705-2300

NPI assigned

May 29, 2025

Organization subpart

No

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

Authorized official

Name

Kate Roxalyn Gazenko, MDNPI 1245435213

Title

Owner

Phone

(479) 705-2310

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kate Roxalyn Gazenko, M.D.

  • Surgery Physician
  • Clarksville, AR
  • NPI 1245435213
  NPD Authorized official

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1932092053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 W MAIN ST STE 2",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728303035",
            "telephone_number": "479-705-2310",
            "fax_number": "479-705-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 W MAIN ST STE 2",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728303035",
            "telephone_number": "479-705-2310",
            "fax_number": "479-705-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAZENKO AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "GAZENKO",
        "authorized_official_first_name": "KATE",
        "authorized_official_middle_name": "ROXALYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-705-2310",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makia Garner-Hern
• Abigail Garrett
• Amber Leigh Garrison, OT-A
• Susan Gateley, A.P.N.
• Ashley N Gattis, NP
• Gazenko Surgical Services, PLLC
• Kate Roxalyn Gazenko, M.D.
• Loretta J Gedosh, LPC
• Sydni Gibbs
• Alonzo Gilbert

• Surgery Physician in Clarksville, AR
• Providers in Clarksville, AR by specialty
• Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.