Organization Active NPI

Ronald Gotanco, PA

  • Anesthesiology Physician
  • San Antonio, TX
National Provider Identifier
1720276330
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
RONALD GOTANCO, PA
Practice address
1303 McCullough Ave
Suite 222
San Antonio, TX 78212-5609
Phone
(210) 477-2409
Fax
(210) 477-0376
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Ronald E. Gotanco, M.D.
Title
Physician
Phone
(210) 477-2409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

1303 McCullough Ave
Suite 222
San Antonio, TX 78212-5609

Mailing address

PO Box 2018
San Antonio, TX 78297-2018
Phone (210) 477-2409

National Provider Directory

National Provider Directory

Locations

1303 McCullough Ave
Ste 222
San Antonio, TX 78212
Phone (210) 477-2409

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1720276330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2018",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782972018",
            "telephone_number": "210-477-2409",
            "fax_number": "210-477-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 MCCULLOUGH AVE",
            "address_2": "SUITE 222",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125609",
            "telephone_number": "210-477-2409",
            "fax_number": "210-477-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD GOTANCO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "GOTANCO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "210-477-2409",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.