Tim Gurtch, MD, Inc.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

C50806 Issued in CA

Legal business name

TIM GURTCH, MD, INC.

Practice address

3636 N 1St St Ste 165
Fresno, CA 93726-6818

Phone

(559) 222-3237

Fax

(559) 222-3270

NPI assigned

Jul 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tim Platon Gurtch, MD

Title

President

Phone

(619) 265-1070

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1174713945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4276 54TH PL STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921156011",
            "telephone_number": "619-265-1070",
            "fax_number": "619-265-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 N 1ST ST STE 165",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266818",
            "telephone_number": "559-222-3237",
            "fax_number": "559-222-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM GURTCH, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "GURTCH",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "PLATON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-265-1070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "C50806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C508060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colleen Kathryn Tillery
• Madison Denise Tillery
• Felicia R Tillman
• James Tillman
• Kathy Ann Tillmon
• Alexia Rosario Timberger
• Amy Timmons, MA LMFT
• Christina Monique Timmons, LVN
• Timothy a Van Dyne DPM Inc
• Timothy Andrew Wilkins

• Adult Medicine Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.