Active NPI
Ictm
- Medical Toxicology (Preventive Medicine) Physician
- Palm City, FL
National Provider Identifier
1659825867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Toxicology (Preventive Medicine) Physician
- License
- D0015004
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Toxicology (Preventive Medicine) Physician | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Legal Medicine
- Palm City, FL
- NPI 1023565397
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.