Roderic Dean Gottula, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

44546 Issued in IA

Practice address

800 Kenyon Rd Ste Q
Fort Dodge, IA 50501-5776

Phone

(515) 574-8519

Fax

(515) 574-8514

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Trimark Physicians Group

  dba UnityPoint Clinic-Family Medicine-Manson

  • Rural Health Clinic/Center
  • Manson, IA
  • NPI 1790161255
  NPD (past)
• Trinity Regional Medical Center

  dba UnityPoint Clinic

  • Emergency Medicine Physician
  • Fort Dodge, IA
  • NPI 1073594156

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1588789150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 KENYON RD STE Q",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015776",
            "telephone_number": "515-574-8519",
            "fax_number": "515-574-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 KENYON RD STE Q",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015776",
            "telephone_number": "515-574-8519",
            "fax_number": "515-574-8514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5920 McIntyre St",
            "address_purpose": "LOCATION",
            "city": "Golden",
            "state": "CO",
            "postal_code": "804037445",
            "country_code": "US",
            "telephone_number": "303-525-7250",
            "fax_number": "303-531-5088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOTTULA",
        "first_name": "RODERIC",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "29988",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "44546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "29988",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Golden Day Adult Day
• Yuly Goldin, M.D.
• Felix Edward Gonzales, MD
• Brenda Lee Goodner
• Karen Kay Gotto, LMHC,LMSW
• Grace Counseling & Consulting, LLC
• Lynnette A Graesing, ARNP
• Great Plains Orthotics & Prosthetics, Inc (Hanger Clinic)
• Emma Green, LISW
• Scott G Green, MD

• Family Medicine Physician in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.