Russell S Gornichec MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

E7873 Issued in AR

Legal business name

RUSSELL S GORNICHEC MD PC

Practice address

501 W Grand Ave
Hot Springs, AR 71901-3931

Phone

(501) 781-0772

Fax

(501) 781-4000

NPI assigned

Feb 1, 2012

Organization subpart

No

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

Authorized official

Name

Kim Gornichec

Title

Clinic Administrator

Phone

(501) 781-0772

Specialties & licenses 1

Addresses

Other names 2

• Laser Solutions Medical Spa and Weight Loss Doing business as
• RUSSELL S GORNICHEC MD PA Other name

Locations

Practitioners 1

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

• Russell S Gornichec, MD

  • Surgery Physician
  • Hot Springs, AR
  • NPI 1437121860
  NPD

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1972875367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BIG DUKE TRL",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719132515",
            "telephone_number": "501-778-7300",
            "fax_number": "501-778-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W GRAND AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719013931",
            "telephone_number": "501-781-0772",
            "fax_number": "501-781-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL S GORNICHEC MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2019-02-19",
        "status": "A",
        "authorized_official_last_name": "GORNICHEC",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "501-781-0772"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AR",
            "license": "E7873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laser Solutions Medical Spa and Weight Loss",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RUSSELL S GORNICHEC MD PA",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "RUSSELL S GORNICHEC MD PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dana Rudder, SLP
• Alisa Danielle Ruffner, DNP
• Candice Michelle Runion, PT, DPT
• Adrianne Rush, LMT
• Russell M. Gorman, DDS., PA
• Jessica Russell
• Mark S Russell, M.D.
• Paul A Russell
• Shenita Russell, RRT
• Katie Ryan

• Surgery Physician in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.