Derik Tyler Gotay is a Phoenix, Arizona based nurse anesthetist who is specialized as Anesthesia Administration nurse. Active license number of Derik Tyler Gotay is 317291 for Anesthesia Administration in Arizona. his current practice location is 2601 E Roosevelt St, Phoenix. Patients can reach him at 602-344-5039. Derik Tyler Gotay is DNAP with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1124715149. Derik Tyler Gotay is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Derik Tyler Gotay speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
DNAP
Gender:
Male
Practice Address:
2601 E Roosevelt St, Phoenix, Arizona, 85008-4973
Phone:
602-344-5039
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1124715149
NPI Enumeration Date:
19 Apr, 2023
NPI Last Update On:
01 May, 2025
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Derik Tyler Gotay are as mentioned below.
License Number
Specialization
State
Status
317291
Anesthesia Administration
Arizona
Primary
11026133
Anesthesia Administration
Florida
Secondary
APRN11026133
Anesthesia Administration
Florida
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Derik Tyler Gotay such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
120382200
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2929 E Thomas Rd, Phoenix, Arizona
Zip:
85016-8034
Phone Number:
602-470-5000
Fax Number:
602-470-5064
Patients can reach Derik Tyler Gotay at 2601 E Roosevelt St, Phoenix, Arizona or can call to book an appointment on 602-344-5039.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.