NICO-AL GOTERA (NPI# 1366066136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366066136 |
| Entity Type | Individual |
| Full Name | NICO-AL GOTERA |
| Credential | DO |
| Practice Address |
1010 4th St Sw Ste 305 Mason City IA 50401-2856 |
| Mailing Address |
1000 4th St Sw Mason City IA 50401-2800 |
| Practice Telephone | 6414285700 |
| Practice Fax Number | 6414282515 |
| Mailing Telephone | 6414285700 |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | R-11881 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
1010 4TH ST SW STE 305 |
| City | MASON CITY |
| State | IA |
| Zip Code | 50401-2856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740635903 | Jody Laine Gordon | Internal Medicine | 1010 4th St Sw Ste 305, Mason City, IA 50401-2856 | 2016-04-25 |
| 1467076257 | Elias Smirlis | Internal Medicine | 1010 4th St Sw Ste 305, Mason City, IA 50401-2856 | 2020-06-08 |
| 1689298473 | Jacob Obholz | Internal Medicine | 1010 4th St Sw Ste 305, Mason City, IA 50401-2856 | 2020-06-08 |
| 1093339871 | Adam Hoffmann | Internal Medicine | 1010 4th St Sw Ste 305, Mason City, IA 50401-2856 | 2020-06-08 |
| 1962025817 | Keenan Larsen | Internal Medicine | 1010 4th St Sw Ste 305, Mason City, IA 50401-2856 | 2020-05-27 |
| 1710500343 | Tyler Rosengren | Internal Medicine | 1010 4th St Sw Ste 305, Mason City, IA 50401-2856 | 2020-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912544123 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1140 Limestone St, Mason City, IA 50401 | 2019-12-06 |
| 1548829989 | Debra Lynn Perzynski | Counselor | 103 E State St Suite 301, Brick and Tile Building, Mason City, IA 50401 | 2019-06-10 |
| 1851858617 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 80 North Eisenhower Ave, Mason City, IA 50401 | 2019-02-27 |
| 1578055521 | Alex Jon Uhlenhopp | Optometrist | 422 S Pierce Ave Ste 1, Mason City, IA 50401 | 2018-06-05 |
| 1538672985 | Bonnie Jean Burnett | Hearing Instrument Specialist | 704 16th St. Ne, Mason City, IA 50401 | 2017-11-08 |
| 1639691009 | Jeremy Baker | Counselor | 320 N Eisenhower Avenue, Mason City, IA 50401 | 2017-07-07 |
| 1437689940 | Medi-dent, Inc. | Psychiatry & Neurology | 1050 15th St. S.w., Suite 2, Mason City, IA 50401 | 2017-06-18 |
| 1922485283 | Jamie Lynn Heard | Social Worker | 50 N. Eisenhower Ave., Mason City, IA 50401 | 2015-05-06 |
| 1558756999 | Tyler Borchardt | Specialist/Technologist | 640 South Indiana Avenue, Mason City, IA 50401 | 2015-04-02 |
| 1811339203 | Siddiq A. Khan | General Practice | 520 S. Pierce Ave. Suite 150, Mason City, IA 50401 | 2013-07-25 |
| Find all providers in zip 50401 | ||||
| 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 |
|---|---|---|---|---|
| 1740635903 | Jody Laine Gordon | Internal Medicine | 1010 4th St Sw Ste 305, Mason City, IA 50401-2856 | 2016-04-25 |
| 1790179331 | John Blaise Pflugi | Internal Medicine | 621 S. Illinois Ave, Suite 100, Mason City, IA 50401-5489 | 2015-03-21 |
| 1467076257 | Elias Smirlis | Internal Medicine | 1010 4th St Sw Ste 305, Mason City, IA 50401-2856 | 2020-06-08 |
| 1689298473 | Jacob Obholz | Internal Medicine | 1010 4th St Sw Ste 305, Mason City, IA 50401-2856 | 2020-06-08 |
| 1093339871 | Adam Hoffmann | Internal Medicine | 1010 4th St Sw Ste 305, Mason City, IA 50401-2856 | 2020-06-08 |
| 1962025817 | Keenan Larsen | Internal Medicine | 1010 4th St Sw Ste 305, Mason City, IA 50401-2856 | 2020-05-27 |
| 1710500343 | Tyler Rosengren | Internal Medicine | 1010 4th St Sw Ste 305, Mason City, IA 50401-2856 | 2020-05-18 |
| 1578115077 | Caio T Heleno | Internal Medicine | 621 S Illinois Ave Ste 100, Mason City, IA 50401-5489 | 2019-07-15 |
| 1285294322 | Michelle Low | Internal Medicine | 621 S Illinois Ave Ste 100, Mason City, IA 50401-5489 | 2019-06-20 |
| 1043879463 | Nathaniel Hitt | Internal Medicine | 621 S Illinois Ave Ste 100, Mason City, IA 50401-5489 | 2019-06-10 |
| Find all providers in MASON CITY | ||||
| City | MASON CITY |
| Zip Code | 50401 |
Please comment or provide details below to improve the information on NICO-AL GOTERA.
| 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.