STASHA GOMINAK, MD, PA
NPI 1356524862
Psychiatry & Neurology - Neurology in Tyler, TX

Active since December 07, 2007
700 OLYMPIC PLAZA CIR, SUITE 912, TYLER, TX 75701(903) 596-3808(903) 596-3815 Get Directions Write a Review

NPPES record last updated: September 28, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stasha Gominak, Md, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STASHA GOMINAK, MD, PA (NPI 1356524862) is a healthcare organization registered as a neurology in Tyler, Texas and active in the NPI registry since December 2007. The organization lists Stasha C Gominak, Physician, as its authorized official.

NPPES Registry Identity

NPI1356524862
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameSTASHA GOMINAK, MD, PA
Location Address700 OLYMPIC PLAZA CIR, SUITE 912Tyler, TX 75701-1951
Mailing Address700 Olympic Plaza Cir, 912Tyler, TX 75701-1951 · (903) 596-3808 · Fax (903) 596-3815
Fax(903) 596-3815
Organization SubpartNo
Authorized OfficialStasha C GominakPhysician · (903) 596-3808
Enumeration DateDecember 7, 2007
Last NPPES UpdateSeptember 28, 2012
NPI 1356524862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
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.

700 OLYMPIC PLAZA CIR, Tyler, TX 75701

Other Identifiers 5

Other0086KVTX · Bcbs
Medicare PIN00297WTX
OtherDB5632TX · Railroad Medicare
Medicaid164213401TX
Medicare PINDB5632TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Neurological Surgery
700 OLYMPIC PLAZA CIR, STE 850
TYLER, TX 75701
Urology
700 OLYMPIC PLAZA CIR, STE 700
TYLER, TX 75701
Internal Medicine (Nephrology)
700 OLYMPIC PLAZA CIR, 912
TYLER, TX 75701
Anesthesiology (Pain Medicine)
700 OLYMPIC PLAZA CIR, STE 404
TYLER, TX 75701
Urology
700 OLYMPIC PLAZA CIR, STE 700
TYLER, TX 75701
Obstetrics & Gynecology
700 OLYMPIC PLAZA CIR, SUITE 503
TYLER, TX 75701
Psychiatry & Neurology (Neurology)
700 OLYMPIC PLAZA CIR, SUITE 912
TYLER, TX 75701
Urology
700 OLYMPIC PLAZA CIR, STE 700
TYLER, TX 75701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stasha Gominak, MD, PA's NPI number?

The NPI number for Stasha Gominak, MD, PA is 1356524862. It was assigned to this organization in the NPPES registry on December 7, 2007.

Where is Stasha Gominak, MD, PA located?

Stasha Gominak, MD, PA is located at 700 Olympic Plaza Cir Suite 912, Tyler, TX 75701. The listed phone number is (903) 596-3808.

What is Stasha Gominak, MD, PA's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Stasha Gominak, MD, PA was last updated on September 28, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.