PHILIP GURECKI (NPI# 1811370869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811370869 |
| Entity Type | Individual |
| Full Name | PHILIP GURECKI |
| Credential | PA-C |
| Practice Address |
704 Thimble Shoals Blvd Suite 700 Newport News VA 23606-4544 |
| Practice Telephone | 7578732000 |
| Practice Fax Number | 7578732003 |
| Mailing Telephone | 7578732000 |
| Mailing Fax Number | 7578732003 |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2016-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110004977 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1811370869 | 05 |
| Street Address |
704 THIMBLE SHOALS BLVD SUITE 700 |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23606-4544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609861038 | James C Tinsley | Family Medicine | 704 Thimble Shoals Blvd, Suite 3 700, Newport News, VA 23606-4544 | 2005-09-12 |
| 1477165553 | Sarah Breckinridge Wadhams | Nurse Practitioner | 704 Thimble Shoals Blvd, Newport News, VA 23606-4544 | 2020-08-19 |
| 1922554351 | Jenalee Nicole Shields | Physician Assistant | 704 Thimble Shoals Blvd, Suite 200, Newport News, VA 23606-4544 | 2016-08-26 |
| 1568894830 | Sarah Jenkins | Physician Assistant | 704 Thimble Shoals Blvd, Suite #200, Newport News, VA 23606-4544 | 2013-08-08 |
| 1659696391 | James River Eye Physicians | Optometrist | 704 Thimble Shoals Blvd, Suite 100, Newport News, VA 23606-4544 | 2010-04-06 |
| 1760625404 | Nicole R. Cook | Physician Assistant | 704 Thimble Shoals Blvd, Suite 600a, Newport News, VA 23606-4544 | 2009-04-10 |
| 1841468345 | Jo Anne Brothers | Physical Therapist | 704 Thimble Shoals Blvd, Suite 400a, Newport News, VA 23606-4544 | 2008-02-19 |
| 1740472646 | Maricel Lilian Ridella | Internal Medicine | 704 Thimble Shoals Blvd, Building 300a, Newport News, VA 23606 | 2007-08-14 |
| 1427255702 | Drs Leddy and Wilson PC | Clinic/Center | 704 Thimble Shoals Blvd, Bldg 300a, Newport News, VA 23606-4544 | 2007-06-29 |
| 1801918156 | Naomi Sakoda | Optometrist | 704 Thimble Shoals Blvd, #100, Newport News, VA 23606-4544 | 2007-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815412 | Orthopaedic Surgery & Sports Med Specialist of Hampton Rds PC | Clinic/Center | 580 City Center Blvd, Newport News, VA 23606 | 2020-06-10 |
| 1457907453 | Children of The Kingdom Home Health Care Services LLC | Home Health | 11834 Cannon Blvd., Ste I-4, Newport News, VA 23606 | 2019-08-15 |
| 1730651282 | Asia Denise Gordon | Family Medicine | 12715 Warwick Blvd # M&o, Newport News, VA 23606 | 2018-12-21 |
| 1447732870 | Jean Ann Kimbrel | Counselor | 105 Nat Turner Blvd, Newport News, VA 23606 | 2018-09-01 |
| 1649762816 | Paige Tretter | Physical Therapist | Orthopaedic and Spine Center, 250 Nat Turner Blvd, Newport News, VA 23606 | 2018-06-04 |
| 1447753959 | Milov Margaret Sonnier | Social Worker | 739 Thimble Shoals Blvd Ste 704, Newport News, VA 23606 | 2018-03-10 |
| 1033627740 | F&n Home Health Agency, LLC | Home Health | 751 Thimble Shoals Blvd Ste D1, Newport News, VA 23606 | 2018-01-16 |
| 1962858944 | Helen G Arnold | Family Medicine | 12715 Warwick Blvd Ste M&o, Newport News, VA 23606 | 2016-05-10 |
| 1780089474 | Emily Giordano | Occupational Therapist | 1000 Lakefront Commons, Apt 210, Newport News, VA 23606 | 2014-10-24 |
| 1982043345 | Kreative Milestones Behavioral Healthcare Services | Clinic/Center | 12388 Warwick Blvd Ste 306, Newport News, VA 23606 | 2013-06-19 |
| Find all providers in zip 23606 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407107386 | Renee Winston Dial | Physician Assistant | 11803 Jefferson Ave Ste 140, Newport News, VA 23606-4390 | 2012-10-02 |
| 1104397330 | Taylor Brooke Rawls | Physician Assistant | 500 J Clyde Morris Blvd, Newport News, VA 23601 | 2018-12-16 |
| 1063931822 | Jillian T Hall | Physician Assistant | 12200 Warwick Blvd Ste 410, Newport News, VA 23601-2548 | 2017-09-13 |
| 1023546256 | Samuel Kyle Holloway | Physician Assistant | 2 Bernardine Dr, Newport News, VA 23602-4404 | 2017-06-01 |
| 1922554351 | Jenalee Nicole Shields | Physician Assistant | 704 Thimble Shoals Blvd, Suite 200, Newport News, VA 23606-4544 | 2016-08-26 |
| 1073979902 | Stewart James Norman | Physician Assistant | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2016-01-07 |
| 1700172897 | Darlene Elise Knight | Physician Assistant | 12200 Warwick Blvd, Suite 110, Newport News, VA 23601-2344 | 2011-06-27 |
| 1669773297 | Caitlin Kufahl | Physician Assistant | 13347 Warwick Blvd, Newport News, VA 23602-5601 | 2010-11-12 |
| 1033427588 | Andrea Marie Edwards | Physician Assistant | 1051 Loftis Blvd, Suite 100, Newport News, VA 23606-3069 | 2010-09-17 |
| 1831401694 | Brittany Erin Fields | Physician Assistant | 101 Philip Roth St, Suite 5a, Newport News, VA 23606-1393 | 2010-07-09 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23606 |
Please comment or provide details below to improve the information on PHILIP GURECKI.
| 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.