PABLO M GONZALEZ (NPI# 1124080759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124080759 |
Entity Type | Individual |
Full Name | PABLO M GONZALEZ |
Credential | M.D. |
Practice Address |
1401 Johnston Willis Dr Suite 100 Richmond VA 23235-4730 |
Mailing Address |
7202 Glen Forest Dr Suite 200 Richmond VA 23226-3781 |
Practice Telephone | 8043307990 |
Practice Fax Number | 8043302701 |
Mailing Telephone | 8046730134 |
Mailing Fax Number | 8046731796 |
Enumeration Date | 2006-04-06 |
Last Update Date | 2019-08-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
0101058602 | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | MEDICARE GROUP PTAN | C01120 | 01 |
VA | 005818851 | 05 | |
VA | ANTHEM BCBS VA | 237404 | 01 |
VA | RR MEDICARE | 830005446 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
6130 Harbourside Centre Loop, Ste 101, Midlothian, VA 231122170 | 8043780394 | 8047397649 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184006983 | Pablo Gonzalez | Case Manager/Care Coordinator | 6159 Lightner Dr, Orlando, FL 32829-7612 | 2015-06-29 |
1831441195 | Pablo Gonzalez | Case Manager/Care Coordinator | 3580 Wilshere Blvd. 2000, Los Angeles, CA 90010 | 2012-10-11 |
1194000745 | Pablo Gonzalez Sr. | Clinic/Center | 2613 Sw 143rd Ave, Miami, FL 33175-6583 | 2011-10-14 |
1942513643 | Pablo J Gonzalez | Psychologist | Street 1 F1 2 Ext Santa Elena, Guayanilla, PR 00656 | 2010-07-22 |
1629677430 | Pablo Gonzalez | Counselor | 333 17th St Ste W, Vero Beach, FL 32960-5687 | 2020-10-22 |
1437659596 | Pablo Andres Gonzalez | Student in an Organized Health Care Education/Training Program | 1156 Calle 62 Se, San Juan, PR 00921-2724 | 2018-02-15 |
1063702322 | Pablo L Gonzalez | Dentist | 16184 Foothill Blvd Ste K, Fontana, CA 92335-7400 | 2011-04-07 |
1730355181 | Pablo Isaias Gonzalez | Psychiatry & Neurology | 7400 Merton Minter St, Psychiatry Dept 116a, San Antonio, TX 78229-4404 | 2008-05-06 |
1972562122 | Pablo R. Gonzalez | Obstetrics & Gynecology | 1871 Se Tiffany Ave, Suite 200, Port St Lucie, FL 34952-7585 | 2006-03-17 |
Street Address |
1401 JOHNSTON WILLIS DR SUITE 100 |
City | RICHMOND |
State | VA |
Zip Code | 23235-4730 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053315077 | Jeffrey Allen Rebman | Urology | 1401 Johnston Willis Dr, Suite 4500, Richmond, VA 23235-4730 | 2005-06-08 |
1275829327 | Elizabeth D Maddux | Licensed Practical Nurse | 1401 Johnston Willis Dr, Richmond, VA 23235-4730 | 2011-06-27 |
1669775862 | Cjw Medical Center | General Acute Care Hospital | 1401 Johnston Willis Dr, Richmond, VA 23235-4730 | 2010-12-09 |
1033437447 | Commonwealth Perinatal Services, LLC | Obstetrics & Gynecology | 1401 Johnston Willis Dr, Suite 5500, Richmond, VA 23235-4730 | 2010-05-10 |
1366689747 | Chippenham & Johnston-willis Hospitals, Inc. | Internal Medicine | 1401 Johnston Willis Dr, Richmond, VA 23235-4730 | 2009-01-07 |
1275714966 | Associated Neurologists PC | Specialist | 1401 Johnston Willis Dr, The Atrium Suite 5300, Richmond, VA 23235-4730 | 2007-11-21 |
1023205697 | Will Rowland Voelzke | Internal Medicine | 1401 Johnston Willis Dr, Suite 100, Richmond, VA 23235-4730 | 2007-09-27 |
1073630745 | Linda B Waterworth | Nurse Practitioner | 1401 Johnston Willis Dr, Suite 4500, Richmond, VA 23235-4730 | 2007-03-26 |
1023117660 | Kevin James Noreika | Emergency Medicine | 1401 Johnston Willis Dr, Richmond, VA 23235-4730 | 2006-09-21 |
1720185549 | Nevan N Chang | Emergency Medicine | 1401 Johnston Willis Dr, Richmond, VA 23235-4730 | 2006-09-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588275770 | Melani Jones | Social Worker | 10825 Midlothian Turnpike Ste 201r, Richmond, VA 23235 | 2020-08-12 |
1447880109 | Sara Hudson | Pharmacist | 2821 Hicks Rd, North Chesterfield, VA 23235 | 2020-01-22 |
1730729096 | Mary Tabitha Varney | Counselor | 101 Buford Rd. Unit 110, North Chesterfield, VA 23235 | 2020-01-14 |
1093355133 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2015 Huguenot Road, North Chesterfield, VA 23235 | 2020-01-07 |
1255975983 | Louise Rutledge | Psychiatry & Neurology | 1429 Buford Rd, N. Chesterfield, VA 23235 | 2019-11-06 |
1114489317 | Therapeutic Learning Consortium LLC | Counselor | 8154 Forest Hill Ave Ste 2, North Chesterfield, VA 23235 | 2019-04-05 |
1013400332 | Shawmika Wright | Social Worker | 1301 Whitehead Road, Richmond, VA 23235 | 2018-06-11 |
1912490608 | Cara Whiting | Physical Therapist | 1400 Johnston Willis Dr Ste B, North Chesterfield, VA 23235 | 2018-06-07 |
1003324682 | David E Fortin | Hearing Instrument Specialist | 10441 Midlothian Turnpike, Richmond, VA 23235 | 2018-01-17 |
1053836544 | Hannah Katherine Chisholm | Physical Therapist | 1400 Johnston-willis Drive, Richmond, VA 23235 | 2017-08-07 |
Find all providers in zip 23235 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144637786 | Toshihisa Satta | Internal Medicine | 1250 E Marshall St # 980509, Richmond, VA 23298-5051 | 2014-07-15 |
1013280544 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Internal Medicine | 5875 Bremo Rd Ste G11, Mob South, Richmond, VA 23226-1934 | 2012-02-14 |
1497906903 | Martin Horenstein | Internal Medicine | 3501 Falstone Rd, Richmond, VA 23234-3721 | 2008-10-02 |
1619170461 | Virginia Physicians, Inc. | Internal Medicine | 1423 Johnston Willis Dr, Richmond, VA 23235-4730 | 2007-06-08 |
1598802852 | Jeevan Sekhar | Internal Medicine | 1607 Chester Blvd, Richmond, IN 47374-1610 | 2007-01-30 |
1205887270 | Bruce O Hough | Internal Medicine | 6505 W Broad St Ste A, Richmond, VA 23230-2013 | 2006-05-15 |
1568421568 | Anna Rozaki Sismanis | Internal Medicine | 8919 Three Chopt Rd, 2nd Floor, Richmond, VA 23229-4659 | 2006-03-20 |
1366448664 | William Joseph John | Internal Medicine | 789 Eastern Byp, Ste 25, Richmond, KY 40475-2421 | 2005-06-22 |
1629073473 | Elke K Friedman | Internal Medicine | 6605 W Broad St, Suite A, Richmond, VA 23230-1714 | 2005-06-17 |
1548743768 | Hem-onc Staffing Solutions, LLC | Internal Medicine | 6605 W Broad St, Richmond, VA 23230-1714 | 2018-09-13 |
Find all providers in RICHMOND |
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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.