Provider Demographics
NPI:1790781250
Name:GERGITS, FRANKLYN R III (DO)
Entity Type:Individual
Prefix:DR
First Name:FRANKLYN
Middle Name:R
Last Name:GERGITS
Suffix:III
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9279 E MOUNTAIN SPRING RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-6608
Mailing Address - Country:US
Mailing Address - Phone:570-490-8819
Mailing Address - Fax:
Practice Address - Street 1:8573 E PRINCESS DR # B111
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-7819
Practice Address - Country:US
Practice Address - Phone:480-525-8999
Practice Address - Fax:480-999-4929
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS008222L207Y00000X
AZ007227207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017065800003Medicaid
PA0017065800003Medicaid
PA015104QP8Medicare PIN