DR. JOSE MANUEL GONZALEZ (NPI# 1265818975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265818975 |
| Entity Type | Individual |
| Full Name | DR. JOSE MANUEL GONZALEZ |
| Credential | D.P.M. |
| Practice Address |
1650 Mulkey Rd Austell GA 30106-1186 |
| Mailing Address |
900 Circle 75 Pkwy Se Ste 900 Atlanta GA 30339-3084 |
| Practice Telephone | 7707455101 |
| Practice Fax Number | 7707459740 |
| Mailing Telephone | 6784272171 |
| Mailing Fax Number | 4044461957 |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2019-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | POD001285 | GA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD001285 | GA | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1610 Mulkey Rd., Austell, GA 301061186 | 7707455101 | 7707459740 |
| 2701 N Decatur Rd, Decatur, GA 300335918 | 4045011000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215548755 | Jose Ramon Gonzalez | Behavior Technician | 16930 Sw 119th Ave, Miami, FL 33177-2114 | 2020-08-10 |
| 1215499090 | Jose Antonio Gonzalez | Student in an Organized Health Care Education/Training Program | 13890 Sw 143rd St Unit G, Miami, FL 33186-7556 | 2019-04-02 |
| 1346731197 | Jose Alberto Gonzalez Sr. | Specialist/Technologist, Other | 15005 Sw 8th Ter, Miami, FL 33194-2448 | 2018-05-27 |
| 1205335734 | Jose Antonio Gonzalez | Driver | 45 Sovereign Way, Hutchinson Island, FL 34949-8367 | 2018-02-11 |
| 1548784978 | Jose Luis Gonzalez | Technician/Technologist | 9400 Perrin Beitel Rd Ste 102, San Antonio, TX 78217-3511 | 2017-07-27 |
| 1831564046 | Jose Gonzalez | Nurse Practitioner | 9480 S. Eastern Ave. Suite 262, Henderson, NV 89052 | 2015-12-14 |
| 1568859551 | Jose T Gonzalez Jr. | Nurse Practitioner | 2017 W Expressway 83 Ste 1, Weslaco, TX 78596-4304 | 2015-04-17 |
| 1134510142 | Jose A Gonzalez | Registered Nurse | 3321 Nw 23rd Ct, Laud Lakes, FL 33311-2742 | 2015-02-12 |
| 1447664842 | Jose Gonzalez | Psychologist | Barcelo #12 Esq 173, Cidra, PR 00739-0000 | 2014-06-13 |
| 1588097653 | Jose Trejo Gonzalez | Radiologic Technologist | 14722 Country Rose Ln, Cypress, TX 77429-8044 | 2013-08-13 |
| Street Address |
1650 MULKEY RD |
| City | AUSTELL |
| State | GA |
| Zip Code | 30106-1186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336139914 | Alan H Shaw | Podiatrist | 1650 Mulkey Rd, Austell, GA 30106-1186 | 2005-10-25 |
| 1750793865 | Luis Garcia | Nurse Anesthetist, Certified Registered | 1650 Mulkey Rd, Austell, GA 30106-1186 | 2014-05-22 |
| 1609184829 | Village Podiatry Group, LLC. | Podiatrist | 1650 Mulkey Rd, Austell, GA 30106-1186 | 2010-09-22 |
| 1740306059 | Foot and Leg Clinic, Pa | Clinic/Center | 1650 Mulkey Rd, Austell, GA 30106-1186 | 2007-03-21 |
| 1003950114 | Foot and Leg Clinic, PC | Podiatrist | 1650 Mulkey Rd, Austell, GA 30106-1186 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126231 | Courtney Lashune Dorsett | Nurse Practitioner | 1005 Cureton Drive, Austell, Austell, GA 30106 | 2020-08-27 |
| 1184240491 | Brian H Eves | Dietitian, Registered | 3972 Brantley Drive, Austell, GA 30106 | 2020-06-23 |
| 1669014486 | Jesse Mccoy | Registered Nurse | 3950 Austell Rd., Austell, GA 30106 | 2019-10-14 |
| 1427522820 | Envision Optics LLC | Optometrist | 1680 E West Connector, Austell, GA 30106 | 2019-01-18 |
| 1972042380 | Thomas Dental Group | Clinic/Center | 1133 East West Connector, Suite 120, Austell, GA 30106 | 2017-02-17 |
| 1245779792 | Colton Dental Group | Clinic/Center | 2495 East-west Connector, Ste 60, Austell, GA 30106 | 2017-02-16 |
| 1144691684 | Georgia Dental Professionals, PC | Dentist | 780 East West Connector Sw, Suite 108, Austell, GA 30106 | 2015-10-09 |
| 1285013714 | Ikeade Bello Alamu | Nurse Practitioner | 2870 Betula Drive, Austell, GA 30106 | 2015-05-29 |
| 1376922211 | Jessica Williams | Obstetrics & Gynecology | 1700 Hospital South Dr Ste 500, Austell, GA 30106 | 2015-05-26 |
| 1558799593 | Tonya Renee Baldwin | Speech-Language Pathologist | 4229 Brass Trl., Austell, GA 30106 | 2013-10-30 |
| Find all providers in zip 30106 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245605971 | Ashish Kapila Dpm | Podiatrist | 3875 Austell Rd Ste 201, Austell, GA 30106-1153 | 2015-12-07 |
| 1871583609 | Douglas H Elleby | Podiatrist | 3825 Medical Park Dr., Ste. 200, Austell, GA 30106-6831 | 2005-10-24 |
| 1609184829 | Village Podiatry Group, LLC. | Podiatrist | 1650 Mulkey Rd, Austell, GA 30106-1186 | 2010-09-22 |
| 1093739419 | Village Podiatry Group, LLC. | Podiatrist | 3825 Medical Park Dr., Suite 200, Austell, GA 30106-6831 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427696392 | Trent Lott | Podiatrist | 3045 Brook Dr, Decatur, GA 30033-3937 | 2019-12-11 |
| 1700440401 | Pamela Onderko Dpm LLC | Podiatrist | 5223 Riverside Dr Ste 104, Macon, GA 31210-0889 | 2019-04-28 |
| 1073070579 | Foot and Ankle Reconstruction of North Georgia P.c | Podiatrist | 970 Woodstock Pkwy Ste 200, Woodstock, GA 30188-4869 | 2019-02-21 |
| 1801352190 | Zachary Adam Rohr | Podiatrist | 2314 Emerald Springs Dr, Decatur, GA 30035-2632 | 2019-02-12 |
| 1649741604 | Neville A Alexander Dpm PC | Podiatrist | 535 Aston Hall Way, Alpharetta, GA 30022-6634 | 2018-12-16 |
| 1902371073 | Atlanta Sports Podiatry | Podiatrist | 9700 Medlock Bridge Rd Ste 126, Johns Creek, GA 30097-4408 | 2018-10-04 |
| 1275012254 | Christopher Anthony Martin | Podiatrist | 1075 Lafayette Pkwy Ste 200, Lagrange, GA 30241-3733 | 2018-08-09 |
| 1306323738 | Stride Foot & Ankle Center, LLC | Podiatrist | 4950 Gladstone Pkwy, Suwanee, GA 30024-6945 | 2018-07-28 |
| 1235642026 | Thomas Foot and Ankle Clinic LLC | Podiatrist | 410 Connell Rd Ste E, Valdosta, GA 31602-1898 | 2017-11-15 |
| 1013420413 | Erika Allison | Podiatrist | 3636 Highlands Pkwy Se, Smyrna, GA 30082-5184 | 2017-11-08 |
| Find all providers with the same taxonomy | ||||
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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.