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NPI Code Detail

MEDICARE: TIMOTHY N. GORSKI MD

MEDICARE: TIMOTHY N. GORSKI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician77673AZ
2207V00000XObstetrics & Gynecology Physician77808MN
3207V00000XObstetrics & Gynecology PhysicianMD29075ME
4207V00000XObstetrics & Gynecology PhysicianH3059TX
5207V00000XObstetrics & Gynecology PhysicianD0103976MD
6207V00000XObstetrics & Gynecology Physician101522WI
7207V00000XObstetrics & Gynecology PhysicianMD-54298IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2H3059OTHERTXSTATE MEDICAL LICENSE #

General Provider Information

NPI Number : 1780726299
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY N. GORSKI MD
Provider Business Mailing Address
First Line : 7259 S BINGHAM JUNCTION BLVD
Second Line :
City : MIDVALE
State : UT
Zip : 84047-4860
Country : US
Telephone Number : 800-453-3030
Fax Number :
Provider Business Practice Location Address
First Line : 1001 N WALDROP DR
Second Line : SUITE 815
City : ARLINGTON
State : TX
Zip : 76012-4705
Country : US
Telephone Number : 817-792-2000
Fax Number : 817-277-3720
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2007
Last Update Date : 01/19/2026

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Directions to “ TIMOTHY N. GORSKI MD” Practice Location

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