| Dr Russell S Gornichec, MD | |
|
501 W Grand Ave, Hot Springs, AR 71901 | |
| (501) 781-0772 | |
| (501) 781-4000 |
| Full Name | Dr Russell S Gornichec |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 501 W Grand Ave, Hot Springs, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437121860 | NPI | - | NPPES |
| 7008146 | Other | IN | AETNA |
| 1021531 | Other | IN | ANTHEM |
| 201233001 | Medicaid | AR | |
| 50113964 | Other | KY | KY PASSPORT |
| P00013588 | Other | OK | RAILROAD MEDICARE |
| 100827130B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | E7873 (Arkansas) | Secondary |
| 208600000X | Surgery | 21488 (Oklahoma) | Secondary |
| 208600000X | Surgery | 01077212A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Russell S Gornichec, MD 501 W Grand Ave, Hot Springs, AR 71901-3931 Ph: (501) 781-0772 | Dr Russell S Gornichec, MD 501 W Grand Ave, Hot Springs, AR 71901 Ph: (501) 781-0772 |
Robert E Breving Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1900 Malvern Ave, Suite 302, Hot Springs, AR 71901 Phone: 501-623-9300 Fax: 501-623-9305 | |
Mandy Lyn Rice, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 1 Mercy Ln Ste 201, Hot Springs, AR 71913 Phone: 501-609-2229 | |
Dustin J Tubre, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Mercy Ln Ste 201, Hot Springs, AR 71913 Phone: 501-609-2229 Fax: 501-623-0921 | |
Gregory Walker, CSFA Surgery Medicare: Not Enrolled in Medicare Practice Location: 839 Bellaire Dr, Hot Springs, AR 71901 Phone: 501-655-5854 | |
Zachary S Larrimer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: One Mercy Lane, 201, Hot Springs, AR 71913 Phone: 501-609-2229 Fax: 501-321-4057 | |
John H Brunner, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Mercy Ln, Suite 201, Hot Springs, AR 71913 Phone: 501-321-2229 Fax: 501-321-4057 |