Gordon Gary Koltis, MD - Radiology in Apex, NC

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Gordon Gary Koltis, MD is a Radiology - Radiation Oncology physician based in Apex, North Carolina. Gordon Gary Koltis is licensed to practice in North Carolina (license number 33390) and his current practice location is 519 Democracy Pl Fl 2, Apex, North Carolina. He can be reached at his office (for appointments etc.) via phone at (252) 916-1778.

NPI number for Gordon Gary Koltis is 1508860545 and his current mailing address is Po Box 725, Apex, North Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508860545.

Contact Information

Gordon Gary Koltis, MD
519 Democracy Pl Fl 2,
Apex, NC 27523-5793
(252) 916-1778
(919) 362-0717

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Physician's Profile

Full NameGordon Gary Koltis
GenderMale
SpecialityRadiology - Radiation Oncology
Location519 Democracy Pl Fl 2, Apex, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1508860545
  • Provider Enumeration Date: 06/08/2005
  • Last Update Date: 01/15/2026

Medical Identifiers

Medical identifiers for Gordon Gary Koltis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508860545NPI-NPPES
49898OtherNCBCBS
24-00059OtherNCUNITED HEALTHCARE
9421363-001OtherNCCIGNA
P00612668OtherNCRAILROAD MEDICARE PTAN
8949898MedicaidNC
30013692OtherNCRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0203XRadiology - Therapeutic Radiology 247085 (Wisconsin)Secondary
2085R0203XRadiology - Therapeutic Radiology MD-035235-E (Pennsylvania)Secondary
2085R0001XRadiology - Radiation Oncology G86259 (California)Secondary
2085R0001XRadiology - Radiation Oncology ME-0051462 (Florida)Secondary
2085R0001XRadiology - Radiation Oncology 33390 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gordon Gary Koltis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gordon Gary Koltis, MD
Po Box 725,
Apex, NC 27502-0725

Ph: (252) 916-1778		Gordon Gary Koltis, MD
519 Democracy Pl Fl 2,
Apex, NC 27523-5793

Ph: (252) 916-1778

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Radiology Doctors in Apex, NC


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