Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GORDON GARY KOLTIS, M.D.
ActiveGORDON GARY KOLTIS, M.D. is a Radiation Oncology healthcare provider located in APEX, North Carolina. NPI 1508860545 is currently active in the NPPES registry. Verify at CMS.
Radiation Oncology · APEX, NC
Registration Details
- NPI Number
- 1508860545
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 8, 2005 (21.229254817043 yrs)
- Last Updated
- Jan 15, 2026
- Licenses
-
247085 (WI)MD-035235-E (PA)G86259 (CA)ME-0051462 (FL)33390 (NC)
Practice Information
- Address
-
519 DEMOCRACY PL FL 2APEX, NC, 275235793Browse NC providers · Browse ZIP 27523
- Phone
- 2529161778
- Fax
- 9193620717
- Primary Specialty
-
Radiation Oncology
2085R0001X
- Additional Specialty
- 2085R0203X
- Additional Specialty
- Radiation Oncology
- Additional Specialty
- Radiation Oncology
- Additional Specialty
- Radiation Oncology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.