MARK RICHARD GACEK (NPI# 1073517769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073517769 |
| Entity Type | Individual |
| Full Name | MARK RICHARD GACEK |
| Credential | M.D. |
| Practice Address |
100 Memorial Hospital Dr Glw Annex Building, Ste. 3c Mobile AL 36608-1183 |
| Practice Telephone | 2513407970 |
| Practice Fax Number | 2513407971 |
| Mailing Telephone | 2513407970 |
| Mailing Fax Number | 2513407971 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2016-07-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 0002107 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BC AL | 51134625 | 01 |
| AL | 148969 | 05 |
| Street Address |
100 MEMORIAL HOSPITAL DR GLW ANNEX BUILDING, STE. 3C |
| City | MOBILE |
| State | AL |
| Zip Code | 36608-1183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770925471 | Larry Michael Oliver II | Nurse Practitioner | 100 Memorial Hospital Dr, 1-a, Mobile, AL 36608-1183 | 2013-07-23 |
| 1396189528 | Melanie March Tims | Nurse Practitioner | 100 Memorial Hospital Dr, Annex Building, Suite 3-b, Mobile, AL 36608-1183 | 2013-04-18 |
| 1932449451 | Gacek Ear and Sinus Center LLC | Otolaryngology | 100 Memorial Hospital Dr, Glw Annex Building, Ste. 3c, Mobile, AL 36608-1183 | 2013-02-20 |
| 1437456050 | Shawna Michelle Reich | Nurse Practitioner | 100 Memorial Hospital Dr, Suite 3a, Mobile, AL 36608-1183 | 2011-02-16 |
| 1093048332 | Jimmie Council Blan | Physician Assistant | 100 Memorial Hospital Dr, Suite 3a, Mobile, AL 36608-1183 | 2009-09-17 |
| 1528291861 | Kristin Oakes Tomlinson | Nurse Practitioner | 100 Memorial Hospital Dr, Suite 3a, Mobile, AL 36608-1183 | 2009-09-03 |
| 1306019831 | Springhill Behavioral Health Inc. | Counselor | 100 Memorial Hospital Dr, 1-b, Mobile, AL 36608-1183 | 2008-04-04 |
| 1942496922 | Michelle D Nicholas | Physician Assistant | 100 Memorial Hospital Dr, Suite 3a, Mobile, AL 36608-1183 | 2007-09-24 |
| 1306039912 | Catherine Merritt Shaw | Occupational Therapist | 100 Memorial Hospital Dr, Suite 1-c, Mobile, AL 36608-1183 | 2007-08-27 |
| 1881890739 | Wiley Jacob Christian IIi | Physical Therapist | 100 Memorial Hospital Dr, Suite 1-c Springhill Medical Center, Mobile, AL 36608 | 2007-06-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
| Find all providers in zip 36608 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1497862353 | James F. Benson Jr. | Otolaryngology | 6701 Airport Blvd Ste B123, Mobile, AL 36608-6775 | 2006-08-24 |
| 1083619332 | Wiley Hugh Justice | Otolaryngology | 5721 Usa North Dr, Hahn 1119, Mobile, AL 36688-0002 | 2005-06-14 |
| 1427051481 | Barry Lee Brown | Otolaryngology | 3701 Dauphin St, Mobile, AL 36608-1756 | 2005-05-24 |
| 1811990765 | Percy Vandorn Crocker | Otolaryngology | 610 Providence Park Dr E, Bldg 2, Suite 203, Mobile, AL 36695-4622 | 2005-05-24 |
| 1508424763 | Usa Health Physician Billing Services LLC | Otolaryngology | 1720 Center St Ste 103, Mobile, AL 36604-3300 | 2019-06-03 |
| 1093241671 | Alabama Providence Healthcare Services | Otolaryngology | 6701 Airport Blvd, Suite B123, Mobile, AL 36608-6705 | 2017-05-03 |
| 1083034367 | Kent L. Burton | Otolaryngology | 2880 Dauphin St, Mobile, AL 36606-2457 | 2014-04-24 |
| 1932449451 | Gacek Ear and Sinus Center LLC | Otolaryngology | 100 Memorial Hospital Dr, Glw Annex Building, Ste. 3c, Mobile, AL 36608-1183 | 2013-02-20 |
| 1932499076 | Brian Patrick Sullivan | Otolaryngology | 2880 Dauphin St, Mobile, AL 36606-2457 | 2011-04-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.