Stasha Gominak, Md, Pa in Tyler - Neurology
Stasha Gominak, Md, Pa - NPI 1356524862
Stasha Gominak, Md, Pa is a Neurology in Tyler, Texas. Stasha Gominak, Md, Pa practices all healthcare services and medical treatments related to Neurology. The NPI Number for Stasha Gominak, Md, Pa is 1356524862. The last update date is 2012-09-28.
Stasha Gominak, Md, Pa's current location address is 700 Olympic Plaza Cir, Tyler, Texas. You can contact this provider via phone number 9035963808 and fax number 9035963815. The mailing address for Stasha Gominak, Md, Pa is 700 Olympic Plaza Cir, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Stasha Gominak, Md, Pa |
|---|---|
| Address | 700 Olympic Plaza Cir, Tyler, Texas |
| Phone Number | 9035963808 |
| Fax Number | 9035963815 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Gominak C Stasha |
| Credentials | M.D. |
| Telephone Number | 9035963808 |
NPI Number Detail
| NPI Number | 1356524862 |
|---|---|
| Provider Enumeration Date | 2007-12-07 |
| Last Updated Date | 2012-09-28 |
Provider Mailing Address Detail
| Address | 700 Olympic Plaza Cir |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757011951 |
| Phone Number | 9035963808 |
| Fax Number | 9035963815 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
|
Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0086KV | TX | BCBS | |
| DB5632 | TX | RAILROAD MEDICARE | |
| 164213401 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Stasha Gominak, Md, Pa by the Centers for Medicare & Medicaid Services?
The Stasha Gominak, Md, Pa has been issued the NPI (National Provider Identifier) 1356524862, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Stasha Gominak, Md, Pa is physically located?
The Stasha Gominak, Md, Pa is situated at the following address: 700 Olympic Plaza Cir, Tyler, TX 757011951.
What is the area of specialization for Stasha Gominak, Md, Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Stasha Gominak, Md, Pa is Neurology, and the corresponding taxonomy code that categorizes this area of expertise is 2084N0400X.
On what date did Stasha Gominak, Md, Pa receive its 1356524862 assignment from the Centers for Medicare & Medicaid Services?
The Stasha Gominak, Md, Pa was assigned its 1356524862 on 2007-12-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Stasha Gominak, Md, Pa last refreshed?
The information related to the Stasha Gominak, Md, Pa, including its address, specialty, and other relevant details, was last updated on 2012-09-28.