Gazenko Aesthetics LLC · Surgery Physician

1007 W Main St Ste 2, Clarksville, AR 72830-3035

Overview

Gazenko Aesthetics LLC is a Surgery Physician (organization) practicing in Clarksville, Arkansas. The National Provider Identifier (NPI) is #1932092053, which was assigned on May 29, 2025, and the registration record was last updated on May 29, 2025. The practitioner's main practice location is at 1007 W Main St Ste 2, Clarksville, AR 72830-3035; the contact telephone number is 4797052310, and the fax number is 4797052300. The primary taxonomy of Gazenko Aesthetics LLC is Surgery Physician (208600000X). The authorized official for Gazenko Aesthetics LLC is Kate Roxalyn Gazenko (Owner).

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Provider Information

NPI 1932092053
Entity Type Organization
Organization Name GAZENKO AESTHETICS LLC
Provider Name GAZENKO AESTHETICS LLC
Practice Address 1007 W Main St Ste 2
Clarksville
AR 72830-3035
Practice Telephone 4797052310
Practice Fax Number 4797052300
Mailing Address 1007 W Main St Ste 2
Clarksville
AR 72830-3035
Mailing Telephone 4797052310
Mailing Fax Number 4797052300
Certification Date 2025-05-29
Enumeration Date 2025-05-29
Last Update Date 2025-05-29
Is Organization Subpart N

Authorized Official Information

Official Name KATE ROXALYN GAZENKO
Official Title OWNER
Credential MD
Telephone 4797052310

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y208600000XSurgery193400000X SINGLE SPECIALTY GROUP

Taxonomy Information

Primary Taxonomy

Code 208600000X
Taxonomy Surgery Physician
Classification Surgery
Grouping Allopathic & Osteopathic Physicians
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Graham Hospital Association 2028 N Seminary St, Galesburg, IL 61401-4559Surgery Physician2026-04-09
Mathew Dean Sexton 1 Hospital Drive Columbia Mo 65212., Columbia, MO 65212-0001Surgery Physician2026-04-10
True Care Surgical Assist, LLC 37 E Willow St, Millburn, NJ 07041-1416Surgery Physician2026-04-07
Heejoo Kang 330 Brookline Ave, Boston, MA 02215-5400Surgery Physician2026-04-10
Arianna Wilson · Ari Wilson 2710 Routh Creek Pkwy Apt 8007, Richardson, TX 75082-0174Surgery Physician2026-04-08
Related Surgical Specialties of Nj LLC 140 Sylvan Ave Ste 213, Englewood Cliffs, NJ 07632-2559Surgery Physician2026-04-06
Coastal Gastroenterolgy and General Surgery LLC 3440 Tamiami Trl Unit 1, Port Charlotte, FL 33952-8134Surgery Physician2026-04-02
Crescent Wound Care Inc 6129 Palmetto St, Philadelphia, PA 19111-5729Surgery Physician2026-03-31
Sameeras Medical Corporation 1180 N Indian Canyon Dr Ste E218, Palm Springs, CA 92262-4885Surgery Physician2026-04-08
Taina Cancel 17240 Cortez Blvd, Brooksville, FL 34601-8921Surgery Physician2026-04-02
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Location Information

Street Address 1007 W MAIN ST STE 2
City CLARKSVILLE
State AR
Zip Code 72830-3035
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Garrett Kyle 409 S Rogers St, Clarksville, AR 72830-3743Family Nurse Practitioner2024-10-03
Emily Ellis 2112 W Main St, Clarksville, AR 72830-3245Behavior Technician2025-07-31
River Valley Counseling and Therapy, Pa 401 E Main St Ste 1, Clarksville, AR 72830-3793Professional Counselor2017-06-20
Newgen of Arkansas LLC 1100 E Poplar St, Clarksville, AR 72830-4419Emergency Medicine Physician2025-10-06
Isaac Hunter 285 County Road 3468, Clarksville, AR 72830-6473Clinical Psychologist2025-09-30
Stephen Downing 702 S Hospital Dr, Clarksville, AR 72830-4434Lodging Provider2026-03-06
Candice Reado 2112 W Main St, Clarksville, AR 72830-3245Behavior Technician2022-09-21
Rebekah K Mize 107 S Cravens St, Clarksville, AR 72830-3607Family Nurse Practitioner2011-11-03
Jessica Renee Vasquez 409 S Rogers St, Clarksville, AR 72830-3743Nurse Practitioner2025-02-10
Cameron Lauckner 200 E Main St, Clarksville, AR 72830-3724Case Manager/Care Coordinator2020-07-21
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
Aicardi Aesthetics, LLC. 8835 Sw 172nd Ave Apt 537, Miami, FL 33196-2999Medical Specialty Clinic/Center2025-12-24
Dia Aesthetics LLC 800 Biesterfield Rd Unit 765, Elk Grove Village, IL 60007-3361Plastic Surgery Physician2025-09-08
Your Best You Aesthetics & Wellness LLC 1121 Bethlehem Pike Ste 60111, Spring House, PA 19477-1102Nurse Practitioner2026-01-31
All About Aesthetics Rockwall 909 Aspen Ridge Dr, Southlake, TX 76092-3840Emergency Medicine Physician2024-05-06
G2 Aesthetics LLC 17785 Mason St Ste 105, Omaha, NE 68118-3526Nurse Practitioner2026-02-16
New Age Medical Aesthetics 18901 Sw 106th Ave Ste A-109, Cutler Bay, FL 33157-7661Family Nurse Practitioner2024-03-05
515 Wellness and Aesthetics 1830 Se Princeton Dr Ste E, Grimes, IA 50111-4826Clinic/Center2024-04-22
Jai Restorative Aesthetics 5808a W 36th St, St Louis Park, MN 55416-5108Other Specialist/Technologist2024-01-25
Aayu Aesthetics 5850 Coral Ridge Dr Ste 103c, Coral Springs, FL 33076-3395Clinic/Center2024-11-26
Her Aesthetics 215 W Reinken Ave, Belen, NM 87002-4241Primary Care Nurse Practitioner2025-12-09

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.