DR. RUSTICO TOLENTINO GOTICO (NPI# 1326020728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326020728 |
| Entity Type | Individual |
| Full Name | DR. RUSTICO TOLENTINO GOTICO |
| Credential | M.D. |
| Practice Address |
4601 Ironbound Rd. Eastern State Hospital Williamsburg VA 23187-8791 |
| Mailing Address |
4908 Burnley Dr Williamsburg VA 23188-8802 |
| Practice Telephone | 7572535285 |
| Mailing Telephone | 7572294391 |
| Enumeration Date | 2005-11-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 0101025518 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
4601 IRONBOUND RD. EASTERN STATE HOSPITAL |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23187-8791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023093028 | Emelita Flores Ramos | Specialist | 4601 Ironbound Rd., Williamsburg, VA 23186-0001 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588993455 | Tracey Eisen | Specialist/Technologist | 751 Ukrop Dr, Williamsburg, VA 23187 | 2009-12-23 |
| 1134246549 | Christine Ferguson | Counselor | Richmond Rd, Blow Hall 240, Williamsburg, VA 23187 | 2007-03-23 |
| 1316061096 | Carina Sudarsky-gleiser | Psychologist | 240 Blow Hall, Williamsburg, VA 23187 | 2007-03-19 |
| 1891743340 | Tyson James Burton | Specialist/Technologist | 1 Campus Drive, Williams & Mary Hall, Williamsburg, VA 23187 | 2006-05-05 |
| 1619932969 | Lisa Nichole Wilkins | Specialist/Technologist | 751 Ukrop Way, The College of William and Mary, Williamsburg, VA 23187 | 2006-04-19 |
| 1528041456 | Mukesh Manubhai Patel | Psychiatry & Neurology | Eastern State Hospital, 4601 Ironbound Rd, Williamsburg, VA 23187 | 2005-11-23 |
| 1003817735 | Nicholas Francis Caputo | Pharmacy Technician | 4601 Ironbound Road, Eastern State Hospital, Williamsburg, VA 23187 | 2005-08-03 |
| 1780071936 | Shawn Elizabeth Lucci | Specialist/Technologist | 751 Ukrop Way, Williamsburg, VA 23187 | 2015-04-24 |
| 1851514806 | Nancy-lu Friese Moul | Nurse Practitioner | One Gooch Drive, Williamsburg, VA 23187 | 2007-04-10 |
| 1104802552 | Martha Etta Saunders | Pharmacy Technician | 4601 Ironbound Road, Eastern State Hospital, Williamsburg, VA 23187 | 2005-12-19 |
| Find all providers in zip 23187 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720207459 | Robert E Sullivan | General Practice | 2116 Harpers Mill Rd, Williamsburg, VA 23185-7521 | 2007-04-24 |
| 1255576013 | Mahmood Panbehchi | General Practice | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2008-12-09 |
| 1548433147 | Joseph Daniel Brown IIi | General Practice | 224 Monticello Ave, Williamsburg, VA 23185 | 2008-04-04 |
| 1932384567 | John Charles Marsh | General Practice | 5249 Olde Towne Rd, Suite D, Williamsburg, VA 23188-8111 | 2008-01-02 |
| 1215913389 | Ruben V. Luna Sr. | General Practice | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2005-12-20 |
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| Find all providers with the same taxonomy | ||||
| City | WILLIAMSBURG |
| Zip Code | 23187 |
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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.