David R Gotham Jr. (NPI# 1023009297, PAC ID# 6002882719) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1023009297 |
| PAC ID by PECOS | 6002882719 |
| Professional Enrollment ID | I20040903000534 |
| Full Name | David R Gotham Jr. |
| Address |
2204 Plaza Dr Suite 120 Rocklin CA 95765-4413 |
| Gender | M |
| Credential | DO |
| Medical School | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 1999 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050309 | SUTTER ROSEVILLE MEDICAL CENTER |
| 050150 | SIERRA NEVADA MEMORIAL HOSPITAL |
| 050498 | SUTTER AUBURN FAITH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 109 Margaret Ln, Grass Valley, CA 95945-5211 | ||
| 2204 Plaza Dr, Suite 120, Rocklin, CA 95765-4413 |
| Street Address |
2204 PLAZA DR SUITE 120 |
| City | ROCKLIN |
| State | CA |
| Zip | 95765-4413 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason C Thornton | Chiropractic | 5700 Lonetree Blvd, Rocklin, CA 95765-3734 | |
| Hilary L Taglio | Chiropractic | 5700 Lonetree Blvd, Rocklin, CA 95765-3734 | |
| Beverly A Chang | Psychiatry | 5701 Lonetree Blvd, Suite 323, Rocklin, CA 95765-3797 | |
| Syrrus Powell | Clinical Social Worker | Beverly Chang Md, Inc | 5701 Lonetree Blvd, Suite 323, Rocklin, CA 95765-3797 |
| Geraldine Brooks | Optometry | 2230 Sunset Blvd, Suite 380, Rocklin, CA 95765-4274 | |
| Leonard L Wong | Chiropractic | 2230 Sunset Blvd, Suite 360, Rocklin, CA 95765-4274 | |
| Abigail Basubas | Physical Therapy | Burger Physical Therapy Services Inc | 2241 Sunset Blvd, Suite A, Rocklin, CA 95765-4295 |
| Navrit Kaur Purewal | Optometry | K and A Optometry Inc | 2351 Sunset Blvd, Suite 190, Rocklin, CA 95765-4306 |
| Kristyna Lensky Sipes | Optometry | K and A Optometry Inc | 2351 Sunset Blvd, Suite 190, Rocklin, CA 95765-4306 |
| Rebecca L Phillips | Physical Therapy | Rocklin Physical Therapy Inc | 2217 Sunset Blvd, Suite 711, Rocklin, CA 95765-4783 |
| Find all physicians in zip 95765 | |||
| City | ROCKLIN |
| Zip Code | 95765 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | ROCKLIN + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on David R Gotham Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.