Organization Active NPI

Ictm

  • Medical Toxicology (Preventive Medicine) Physician
  • Palm City, FL
National Provider Identifier
1659825867
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Toxicology (Preventive Medicine) PhysicianTaxonomy code 2083T0002X
License
D0015004 Issued in MD
Legal business name
ICTM
Practice address
93 SW Palm Cove Dr
Palm City, FL 34990-4318
Phone
(301) 466-9858
NPI assigned
Aug 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Authorized official

Name
Dr. Ronald Eric Gots, M.D., PH.D.NPI 1023565397
Title
Ceo
Phone
(301) 466-9858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Toxicology (Preventive Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083T0002X D0015004 MD Primary

Addresses

Primary practice location

93 SW Palm Cove Dr
Palm City, FL 34990-4318

Mailing address

93 SW Palm Cove Dr
Palm City, FL 34990-4318
Phone (301) 466-9858

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1659825867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 SW PALM COVE DR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349904318",
            "telephone_number": "301-466-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 SW PALM COVE DR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349904318",
            "telephone_number": "301-466-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICTM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-05",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "GOTS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-466-9858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "2083T0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Medical Toxicology",
            "state": "MD",
            "license": "D0015004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.