NICOLAS ANTONIO GONZALEZ (NPI# 1013916659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013916659 |
Entity Type | Individual |
Full Name | NICOLAS ANTONIO GONZALEZ |
Credential | M.D. |
Practice Address |
2600 E Southern Ave Bldg. H Tempe AZ 85282 |
Practice Telephone | 4806997248 |
Practice Fax Number | 4806641961 |
Mailing Telephone | 4806997248 |
Mailing Fax Number | 4806641961 |
Enumeration Date | 2005-07-15 |
Last Update Date | 2011-06-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 29730 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 610560 | 05 | |
AZ | HEALTHNET | 3Z0260 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164874541 | Nicolas Ismael Gonzalez IIi | Optometrist | 505 S Albertson Ave, Covina, CA 91723-2905 | 2016-07-08 |
Street Address |
2600 E SOUTHERN AVE BLDG. H |
City | TEMPE |
State | AZ |
Zip Code | 85282 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174525448 | John Grant Fletcher | Dentist | 2600 E Southern Ave, Ste B1, Tempe, AZ 85282-7745 | 2005-06-01 |
1508220443 | La Vereda Medical Center | Family Medicine | 2600 E Southern Ave, Suite G, Tempe, AZ 85282-7610 | 2016-04-06 |
1912386137 | Corey Skubisz | Naturopath | 2600 E Southern Ave, Suite G, Tempe, AZ 85282 | 2015-05-20 |
1003211921 | Skycrest Neurology, Pllc | Psychiatry & Neurology | 2600 E Southern Ave, #d1, Tempe, AZ 85282-7610 | 2014-11-04 |
1316375801 | Banner Health | Non-Pharmacy Dispensing Site | 2600 E Southern Ave, Suite B2, Tempe, AZ 85282-7610 | 2013-10-22 |
1710225057 | Sunstate Cardiology PC | Internal Medicine | 2600 E Southern Ave, Building I Suite 1, Tempe, AZ 85282-7610 | 2013-01-22 |
1780928051 | Adolph Silberman, Ed.d.p.c. | Psychologist | 2600 E Southern Ave, Suite C-3, Tempe, AZ 85282-7610 | 2012-11-26 |
1629321302 | Carolyn B Pace Md PC | Clinic/Center | 2600 E Southern Ave, Suite K, Tempe, AZ 85282-7610 | 2012-10-18 |
1164715751 | Natasa Vojvodic | Family Medicine | 2600 E Southern Ave, B2, Tempe, AZ 85282-7610 | 2011-05-16 |
1932406105 | East Valley Pulmonary Associates | Internal Medicine | 2600 E Southern Ave, Ste I-3, Tempe, AZ 85282-7610 | 2011-02-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346893575 | Cactus Canyon Dental | Dentist | 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 | 2019-07-17 |
1023679644 | Donna Cooks | Registered Nurse | 233 E. Sourthern Ave #27702, Tempe, AZ 85282 | 2019-06-25 |
1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
1669949780 | Crestview Pharmacy Services LLC | Pharmacy | 3225 South Hardy Dr., Ste 100, Tempe, AZ 85282 | 2018-10-26 |
1275018715 | Berlin Wright | Naturopath | 2164 E. Broadway Rd., Tempe, AZ 85282 | 2018-10-01 |
1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
1427553940 | The Bridge Counseling, Consulting and Mediation LLC | Counselor | 4625 S. Lakeshore Dr., 302, Tempe, AZ 85282 | 2018-03-27 |
1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
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Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417139270 | Stewart W Vanhoosear | Pediatrics | 2000 E Southern Ave Ste 104, Tempe, AZ 85282-7510 | 2007-12-03 |
1174625032 | Albert M Schwartz | Pediatrics | 6301 S Mcclintock Dr Ste 101, Tempe, AZ 85283-3393 | 2006-09-02 |
1497720486 | Jane Lyndall Jones | Pediatrics | 4450 S Rural Rd, C-216, Tempe, AZ 85282-7037 | 2006-02-22 |
1609840537 | Mark Robert Hemphill | Pediatrics | 4653 S Lakeshore Dr, Suite 1, Tempe, AZ 85282-7161 | 2006-02-15 |
1508845934 | Richard A Burgmeier | Pediatrics | 2177 E Warner Rd, Suite 105, Tempe, AZ 85284-3511 | 2006-01-13 |
1659371219 | East Valley Children's Ctr | Pediatrics | 3200 S George Dr, Tempe, AZ 85282-4172 | 2005-07-26 |
1952309551 | David Michael Curran | Pediatrics | 3200 S. George Dr, Tempe, AZ 85282-4172 | 2005-07-08 |
1619971306 | Bhavani K Pinnamaneni | Pediatrics | 1847 E Southern Ave, Ste 1, Tempe, AZ 85282-5881 | 2005-06-09 |
1124685532 | Teammd Physicians PC | Pediatrics | 1805 N Scottsdale Rd Ste 120, Tempe, AZ 85281-1556 | 2019-05-21 |
1619338167 | Boys and Girls Pediatric PC | Pediatrics | 2727 W Baseline Rd, Suite 11, Tempe, AZ 85283-1067 | 2016-03-11 |
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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.