RICHARD JOHN LOCICERO (NPI# 1578543948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578543948 |
| Entity Type | Individual |
| Full Name | RICHARD JOHN LOCICERO |
| Credential | M.D. |
| Practice Address |
725 Jesse Jewell Pkwy Se Gainesville GA 30501-3834 |
| Mailing Address |
Po Box 658 Gainesville GA 30503-0658 |
| Practice Telephone | 7702975700 |
| Practice Fax Number | 7707181877 |
| Mailing Telephone | 7707181122 |
| Mailing Fax Number | 7705357445 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2019-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0000X |
Internal Medicine Specialization: Hematology |
048535 | GA | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
048535 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | AMERIGROUP | 10045340 | 01 |
| GA | RR MEDICARE-GRP # CC4177 | 830007840 | 01 |
| GA | 000864498A | 05 | |
| GA | WELLCARE | 340868 | 01 |
| GA | CIGNA | 2993017 | 01 |
| GA | BCBS | 52702518 | 01 |
| GA | AETNA | 7286112 | 01 |
| GA | UNITED HEALTHCARE | 3600108 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1515 River Pl Ste 150, Braselton, GA 305175603 | 7702975700 | 7707181177 |
| Street Address |
725 JESSE JEWELL PKWY SE |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495491 | Priscilla Ruth Strom | Surgery | 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 | 2005-05-27 |
| 1578040523 | Jeffrey Scott Wieseman | Registered Nurse | 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 | 2018-07-23 |
| 1164916581 | Anny Sosebee | Nurse Practitioner | 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 | 2018-06-19 |
| 1538653829 | D'anna Cain | Nurse Practitioner | 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 | 2018-06-19 |
| 1518471044 | Cheryl Lynn Thorsten | Nurse Practitioner | 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 | 2017-11-20 |
| 1669915930 | Abigail Grace Bell | Dietitian, Registered | 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 | 2016-11-18 |
| 1710431226 | Oteia Keion Morris | Nurse Practitioner | 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 | 2016-08-12 |
| 1588015473 | Aliah D Sapp | Nurse Practitioner | 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 | 2016-06-22 |
| 1821447434 | Michelle Marie Ladewig | Nurse Practitioner | 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 | 2016-06-06 |
| 1770944373 | Kathryn Martin Weeks | Nurse Practitioner | 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 | 2016-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881608305 | Mary Saxe Aplin | Internal Medicine | 932 Nw 36th Ter, Gainesville, FL 32605-4947 | 2006-07-28 |
| 1114922267 | Nancy W Stead | Internal Medicine | 1848 Blue Ridge Dr Ne, Gainesville, GA 30501-1210 | 2005-06-16 |
| 1336261262 | Priya K Gopalan | Internal Medicine | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2007-04-04 |
| 1194886564 | Stephen Paul Staal | Internal Medicine | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-12-12 |
| 1720158116 | Jonathan Licht | Internal Medicine | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-11-09 |
| 1912914953 | Dennie Vance Jones Jr. | Internal Medicine | 1600 Sw Archer Rd, Box 100278, Gainesville, FL 32610-0278 | 2006-08-02 |
| 1467474502 | Coy D Heldermon | Internal Medicine | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-07-25 |
| 1831116276 | E Plus Florida Comprehensive Cancer Care, LLC | Internal Medicine | 7000 Nw 11th Pl, Gainesville, FL 32605-3144 | 2006-07-15 |
| 1700818150 | John R Wingard | Internal Medicine | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-07-07 |
| 1447291455 | Christopher R Cogle | Internal Medicine | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-06-09 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
Please comment or provide details below to improve the information on RICHARD JOHN LOCICERO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.