MEDICARE: DAVID A GORTNER 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
1	207R00000X	Internal Medicine Physician	44295	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110170999	OTHER	WA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	G455	OTHER	WA	BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	US0899780	OTHER	WA	AETNA/USHC SPECIALIST
5	0039581	OTHER	WA	LABOR & INDUSTRY
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801817598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID A GORTNER MD

Provider Business Mailing Address
First Line	:	1891 W ORANGE GROVE RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-1116
Country	:	US
Telephone Number	:	520-694-8900
Fax Number	:	520-694-0113

Provider Business Practice Location Address
First Line	:	1891 W ORANGE GROVE RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-1116
Country	:	US
Telephone Number	:	520-694-8900
Fax Number	:	520-694-0113

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	05/19/2015

Similar Medicare Providers

1114923943 — DR. SURESH B KATAKKAR M.D.
Practice Location Address:

1891 W ORANGE GROVE RD
TUCSON, AZ
85704-1116

Practice Phone: 520-742-4183
Practice Fax: 520-742-4110

1932171386 — LOIS EILEEN LATTIMORE NP
Practice Location Address:

1891 W ORANGE GROVE RD
TUCSON, AZ
85704-1116

Practice Phone: 520-742-4183
Practice Fax: 520-742-4110

1427078013 — CAROL DEHASSE MD PC
Practice Location Address:

1871 W ORANGE GROVE ROAD , SUITE 101
TUCSON, AZ
85704-1116

Practice Phone: 520-498-5000
Practice Fax: 520-498-5011

1386822898 — UNIVERSITY MEDICAL CENTER CORPORATION
Practice Location Address:

1891 W ORANGE GROVE RD
TUCSON, AZ
85704-1116

Practice Phone: 520-694-1132
Practice Fax: 520-694-2389

1407092711 — UNIVERSITY CANCER CENTER, LLC
Practice Location Address:

1881 W ORANGE GROVE RD.
TUCSON, AZ
85704-1116

Practice Phone: 805-577-2021
Practice Fax:

1629342589 — MR. MUSA RAHAL RAHAL
Practice Location Address:

1116 S 11TH AVE UNIT 2
TUCSON, AZ
85701-3323

Practice Phone: 520-409-5435
Practice Fax:

Directions to “ DAVID A GORTNER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.