MELVIN R GONZAGA


Address: 957 National Hwy, Ste 3, Attn: Melvin Gonzaga, Lavale, MD 21501-0929
Phone: 2403627128

MELVIN R GONZAGA (NPI# 1104842566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104842566
Entity Type Individual
Full Name MELVIN R GONZAGA
Credential MD
Practice Address 957 National Hwy, Ste 3
Attn: Melvin Gonzaga
Lavale
MD 21501-0929
Practice Telephone 2403627128
Practice Fax Number 2403627129
Mailing Telephone 2403627128
Mailing Fax Number 2403627129
Enumeration Date 2006-07-15
Last Update Date 2013-10-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207L00000X Anesthesiology D22148 MD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MD 961521100 05

Office Location

Street Address 957 NATIONAL HWY, STE 3
ATTN: MELVIN GONZAGA
City LAVALE
State MD
Zip Code 21501-0929

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1265806574 Miriam Zimela Nurse Practitioner 1150 Braddock Rd, Lavale, MD 21502 2015-11-24
1770986606 Alicia Danielle Brown Physician Assistant 1219 National Hwy, Lavale, MD 21502-7602 2014-10-07
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Taxonomy Information

Taxonomy Code 207L00000X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology

Taxonomy Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

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City LAVALE
Zip Code 21501

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Dataset Information

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.

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