Allan C Gocio MD Neurosurgical Care, LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

036-113252 Issued in IL

Legal business name

ALLAN C GOCIO MD NEUROSURGICAL CARE, LLC

Practice address

3331 W Deyoung St
Ste 308
Marion, IL 62959-5896

Phone

(618) 997-1200

Fax

(618) 997-1212

NPI assigned

Feb 2, 2009

Last updated

Apr 15, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Danette Gocio, LPN,CPC

Title

Office Manager

Phone

(618) 997-1200

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angelito Dariel Tacderas, APN

  • Nurse Practitioner
  • Marion, IL
  • NPI 1467785014
  NPD (past)
• Allan C Gocio, M.D.

  • Neurological Surgery Physician
  • Mountain Home, AR
  • NPI 1477503597
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1205074093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629590430",
            "telephone_number": "618-997-1200",
            "fax_number": "618-997-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 W DEYOUNG ST",
            "address_2": "STE 308",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595896",
            "telephone_number": "618-997-1200",
            "fax_number": "618-997-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLAN C GOCIO MD NEUROSURGICAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "GOCIO",
        "authorized_official_first_name": "DANETTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "618-997-1200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN,CPC"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036-113252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432921318",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Diane Alexander, FNP-BC
• James O Alexander, MD
• Jennifer L Alexander, PA
• Shabia K Alimohamed-Janmohamed, PH.D
• All American Access & Mobility
• Rae Lynn Allen
• Arthur David Allred, LCPC
• Carrie Almaroad
• Lucas Raymond Alstat, DPT
• Alternative Health Care, LLC

• Neurological Surgery Physician in Marion, IL
• Providers in Marion, IL by specialty
• Neurological Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.