Active NPI
Gerardo Pulmano Lantoria III, MD
- Family Medicine Physician
- Worthington, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 63036
- Practice address
- 1216 Ryans Rd
Worthington, MN 56187-1722 - Phone
- (507) 372-2921
- Fax
- (507) 372-5789
- NPI assigned
- May 12, 2008
- Last updated
- Mar 21, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 12076 | ND | |
| Family Medicine Physician | 207Q00000X | 63036 | MN | Primary |
Addresses
Primary practice location
1216 Ryans Rd
Worthington, MN 56187-1722
Mailing address
PO Box 6002
Grand Forks, ND 58206-6002
Phone (701) 780-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63036 | MN | MD | Family Medicine Physician |
| 12076 | ND | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Health Care, Inc | Family Medicine | Current | Accepting new patients |
| Unity Family Healthcare | Family Medicine | Current | Accepting new patients |
| Unity Family Healthcare | Current | Accepting new patients | |
| Rural Health Care, Inc | Current | Accepting new patients | |
| Unity Family Healthcare | Current | Accepting new patients | |
| Unity Family Healthcare | Current | Accepting new patients |
Locations
7892 Solutions Ctr
Chicago, IL 60677
811 2nd St SE
Little Falls, MN 56345
Phone (320) 631-7000
815 2nd St SE
Little Falls, MN 56345
Phone (320) 632-5441
300 S Bruce St
Ste 100
Marshall, MN 56258
1216 Ryans Rd
Worthington, MN 56187
Phone (507) 372-2921
1216 Ryans Rd
Ste 3
Worthington, MN 56187
Phone (507) 372-6522
Interoperability endpoints
- glantoria607550@direct.centracare.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Access Health Worthington
- Federally Qualified Health Center (FQHC)
- Worthington, MN
- NPI 1215317375
Family Medicine
-
dba Little Falls Orthopedics
- Orthopaedic Surgery Physician
- Little Falls, MN
- NPI 1326234006
-
dba CHI St. Gabriel's Health
- Critical Access Hospital
- Little Falls, MN
- NPI 1780630939
-
dba Access Health Marshall
- Federally Qualified Health Center (FQHC)
- Marshall, MN
- NPI 1740944602
-
dba Family Medical Center
- Family Medicine Physician
- Little Falls, MN
- NPI 1275762650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521590400000",
"number": "1992972756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6002",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582066002",
"telephone_number": "701-780-5000",
"fax_number": "701-780-6860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1216 RYANS RD",
"city": "WORTHINGTON",
"state": "MN",
"postal_code": "561871722",
"telephone_number": "507-372-2921",
"fax_number": "507-372-5789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANTORIA",
"first_name": "GERARDO",
"middle_name": "PULMANO",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-12",
"last_updated": "2018-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ND",
"license": "12076",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "63036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worthington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.