OTTO GOYCO (NPI# 1013990431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013990431 |
| Entity Type | Individual |
| Full Name | OTTO GOYCO |
| Practice Address |
900 Sanders Rd Suite B Cumming GA 30041-5960 |
| Mailing Address |
4074 Bogan Bluff Ln Buford GA 30519-4501 |
| Practice Telephone | 7707818840 |
| Practice Fax Number | 7707818098 |
| Mailing Telephone | 6784826886 |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 042473 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
900 SANDERS RD SUITE B |
| City | CUMMING |
| State | GA |
| Zip Code | 30041-5960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669745238 | Jocelyn Lorange-herron Sebestyen | Physician Assistant | 900 Sanders Rd, Ste B, Cumming, GA 30041-5960 | 2012-02-13 |
| 1952588568 | Digitrace Care Services Inc | Durable Medical Equipment & Medical Supplies | 900 Sanders Rd, Cumming, GA 30041-5960 | 2008-01-25 |
| 1043404767 | Sleepmed Therapies, Inc | Durable Medical Equipment & Medical Supplies | 900 Sanders Rd, Cumming, GA 30041-5960 | 2007-09-06 |
| 1053505776 | Sleepmed, Inc | Clinic/Center | 900 Sanders Rd, Cumming, GA 30041-5960 | 2007-09-06 |
| 1598782534 | Otto C Goyco Md Internal Medicine LLC | Internal Medicine | 900 Sanders Rd, Suite B, Cumming, GA 30041-5960 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036905 | Annie Kyungjin Han | Nurse Practitioner | 1505 Northside Forsyth Drive, Suite 2500, Cumming, GA 30041 | 2020-02-28 |
| 1295388197 | Pamela Edler | Pharmacist | 1200 Northside Forsyth Drive, Pharmacy Department, Cumming, GA 30041 | 2019-07-19 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1487140893 | Bhbd LLC | Chiropractor | 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 | 2018-07-09 |
| 1891219861 | Anna Gawrys | Pharmacist | 1525 Marketplace Blvd, Cumming, GA 30041 | 2017-08-01 |
| 1679029219 | Square One Dental LLC | Clinic/Center | 3510 Rowe Lane, Cumming, GA 30041 | 2016-09-01 |
| 1720441454 | Pavilion Psychological Services LLC | Psychologist | 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 | 2016-03-31 |
| 1346606506 | American Health Imaging of Ga, LLC | Clinic/Center | 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 | 2016-01-04 |
| 1013311307 | Stephen Hartle | Physician Assistant | 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 | 2014-10-15 |
| 1063828408 | Stephanie Evans Wellborn | Physician Assistant | 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 | 2014-07-07 |
| Find all providers in zip 30041 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235590472 | Valley Wellness Center, LLC | Internal Medicine | 104 Colony Park Dr Ste 300, Cumming, GA 30040-2772 | 2016-03-16 |
| 1285948000 | Sofian Jamal Al-khatib | Internal Medicine | 3430 Silver Lake Ct, Cumming, GA 30041-2835 | 2010-08-04 |
| 1023258274 | Ludy Lukose | Internal Medicine | 407 East Maple Street, Suite 101, Cumming, GA 30040 | 2009-03-01 |
| 1851552053 | Brandee Nicole Urrutia | Internal Medicine | 4335 Browns Bridge Road, Suite 1, Cumming, GA 30041-4554 | 2008-06-19 |
| 1144480310 | Omar T Khan | Internal Medicine | 102 Mary Alice Park Rd Ste 805, Cumming, GA 30040-2664 | 2008-06-11 |
| 1770783417 | Avantika M Patel | Internal Medicine | 1400 Northside Forsyth Drive Suite 350, Kaiser Permanente Forsyth, Cumming, GA 30041 | 2007-07-20 |
| 1407055999 | Dana Joel Eilen | Internal Medicine | 3970 Deputy Bill Cantrell Memorial Dr, Cumming, GA 30040 | 2007-07-13 |
| 1982790531 | Marianne Sanchez | Internal Medicine | 950 Sanders Road, Cumming, GA 30041-5960 | 2006-10-04 |
| 1427068501 | Renata H Batko | Internal Medicine | 634 Peachtree Parkway, Suite 200, Cumming, GA 30041 | 2006-08-09 |
| 1891719704 | Claude E. Mouledous Jr. | Internal Medicine | 3575 Falling Leaf Ln, Cumming, GA 30041-2084 | 2006-07-26 |
| Find all providers in CUMMING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.