Mrs Mary Ruth Gorniak, CNM, FNP | |
1 Wyoming St, Dayton, OH 45409-2722 | |
(937) 208-2007 | |
Not Available |
Full Name | Mrs Mary Ruth Gorniak |
---|---|
Gender | Female |
Speciality | Certified Nurse Midwife (cnm) |
Experience | 28 Years |
Location | 1 Wyoming St, Dayton, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699817874 | NPI | - | NPPES |
2190650 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | NP-00786 (Ohio) | Primary |
367A00000X | Advanced Practice Midwife | NM-00661 (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Five Rivers Health Centers | 9335300904 | 39 |
Entity Name | Five Rivers Health Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104115823 PECOS PAC ID: 9335300904 Enrollment ID: O20120409000638 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mary Ruth Gorniak, CNM, FNP 624 Southern Belle Blvd, Beavercreek, OH 45434-6200 Ph: (937) 426-8122 | Mrs Mary Ruth Gorniak, CNM, FNP 1 Wyoming St, Dayton, OH 45409-2722 Ph: (937) 208-2007 |
Carla Renee King, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 9000 N Main St, Suite 232, Dayton, OH 45415 Phone: 937-277-8988 Fax: 937-277-9035 | |
Jalana N Lazar, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 9000 N Main St, Suite 234, Dayton, OH 45415 Phone: 937-277-8988 Fax: 937-832-2421 | |
Donna M Gau-jata, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-2007 | |
Deborah Jean Ruxer, RN, MS, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2222 Philadelphia Dr, Good Samaritan Hospital, The Family Birthing Center, Dayton, OH 45406 Phone: 937-278-2612 Fax: 937-223-9735 | |
Mrs. Kimberly J Breneman, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 9000 N Main St, Suite 234, Dayton, OH 45415 Phone: 937-277-8988 Fax: 937-832-2421 | |
Dr. Shenika Ashley Zarebski, DO Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 30 E Apple St Ste 6258, Dayton, OH 45409 Phone: 937-208-8000 | |
Susan L Kloth, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 9000 N Main St, Suite 232, Dayton, OH 45415 Phone: 937-277-8988 Fax: 937-277-9035 |