Gacek Ear and Sinus Center LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

0002170 Issued in AL

Legal business name

GACEK EAR AND SINUS CENTER LLC

Practice address

720 Hillcrest Rd Ste a
Mobile, AL 36695-3904

Phone

(251) 340-7970

Fax

(251) 340-7971

NPI assigned

Feb 20, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Mark R Gacek, M.D.NPI 1073517769

Title

Owner/President

Phone

(251) 340-7970

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 3

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

• Mark Richard Gacek, M.D.

  • Otolaryngology Physician
  • Mobile, AL
  • NPI 1073517769
  Medicare reassignment Care Compare group NPD Authorized official
• Kendra Crum, CRNP

  • Family Nurse Practitioner
  • Mobile, AL
  • NPI 1033985049
  Medicare reassignment Care Compare group NPD
• Brooke Gacek, RDN, LD

  • Registered Dietitian
  • Mobile, AL
  • NPI 1770118622
  NPD (past)

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1932449451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 MORRISON DR STE 400",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366093350",
            "telephone_number": "251-340-6947",
            "fax_number": "251-460-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 HILLCREST RD STE A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366953904",
            "telephone_number": "251-340-7970",
            "fax_number": "251-340-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GACEK EAR AND SINUS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-20",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "GACEK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "251-340-7970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": "0002170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147898",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John David Fulton
• Jessica Leigh Fuqua, NP
• Dahlene Nicole Fusco, M.D., PHD.
• G & M Healthcare Management, LLC
• G.Michael Maitre DMD PA
• Brooke Gacek, RDN, LD
• Mark Richard Gacek, M.D.
• Shilpa Gadde, M.D.
• Anushree Gade, MPH
• Daniel Steven Gaffin, D.P.M.

• Otolaryngology Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Otolaryngology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.