Gordon Gary Koltis in Greenville - Therapeutic Radiology
Gordon Gary Koltis - NPI 1508860545
Gordon Gary Koltis is a Therapeutic Radiology in Greenville, North Carolina. Gordon Gary Koltis practices all healthcare services and medical treatments related to Therapeutic Radiology. The NPI Number for Gordon Gary Koltis is 1508860545. The last update date is 2008-09-10.
Gordon Gary Koltis's current location address is 801 W H Smith Blvd, Greenville, North Carolina. You can contact this provider via phone number 2523290025 and fax number 2523290325. The mailing address for Gordon Gary Koltis is 801 W H Smith Blvd, Greenville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gordon Gary Koltis |
|---|---|
| Address | 801 W H Smith Blvd, Greenville, North Carolina |
| Phone Number | 2523290025 |
| Fax Number | 2523290325 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1508860545 |
|---|---|
| Provider Enumeration Date | 2005-06-08 |
| Last Updated Date | 2008-09-10 |
Provider Mailing Address Detail
| Address | 801 W H Smith Blvd |
|---|---|
| City | Greenville |
| State | North Carolina (NC) |
| Post Code | 2783437640 |
| Phone Number | 2523290025 |
| Fax Number | 2523290325 |
Provider's Primary Taxonomy Detail
| Speciality | Therapeutic Radiology |
|---|---|
| Taxonomy | 2085R0203X |
| Licence No | MD-035235-E |
|
Definition: A doctor who specializes in using radiation to treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 49898 | NC | BCBS | |
| 24-00059 | NC | UNITED HEALTHCARE | |
| 9421363-001 | NC | CIGNA | |
| P00612668 | NC | RAILROAD MEDICARE PTAN | |
| 8949898 | NC | -- | |
| 30013692 | NC | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Gordon Gary Koltis by the Centers for Medicare & Medicaid Services?
The Gordon Gary Koltis has been assigned the NPI (National Provider Identifier) 1508860545 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Gordon Gary Koltis located?
The Gordon Gary Koltis is located at 801 W H Smith Blvd, Greenville, NC 2783437640.
What is Gordon Gary Koltis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gordon Gary Koltis is Therapeutic Radiology, and the corresponding taxonomy classification code for this specialized field is 2085R0203X.
On what date did Gordon Gary Koltis receive its 1508860545 assignment from the Centers for Medicare & Medicaid Services?
The Gordon Gary Koltis was assigned its 1508860545 on 2005-06-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Gordon Gary Koltis's details last updated?
The information pertaining to the Gordon Gary Koltis, including its address, specialty, and other details, was most recently updated on 2008-09-10.