Healthcare Provider Details

I. General information

NPI: 1487816518
Provider Name (Legal Business Name): DANIEL GERARD GORBETT JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2008
Last Update Date: 06/02/2022
Certification Date: 06/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7450 HOSPITAL DR
DUBLIN OH
43016-9642
US

IV. Provider business mailing address

PO BOX 7527
DUBLIN OH
43017-0727
US

V. Phone/Fax

Practice location:
  • Phone: 614-533-4999
  • Fax:
Mailing address:
  • Phone: 419-520-2495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number35.094725
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number35.094725
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: