GONZALO E RUIZ (NPI# 1407167356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407167356 |
| Entity Type | Individual |
| Full Name | GONZALO E RUIZ |
| Credential | MD |
| Practice Address |
1701 W. Curtis Champaign IL 61801-2500 |
| Mailing Address |
611 W. Park St. Bwpc Urbana IL 61801-2500 |
| Practice Telephone | 2173656203 |
| Mailing Telephone | 2173836792 |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2015-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036138349 | IL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | EC101072 | ME | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699844076 | Gonzalo Ruiz | Internal Medicine | 2551 N Milwaukee Ave, Chicago, IL 60647-2629 | 2006-11-07 |
| 1982613253 | Gonzalo Flores Ruiz | Family Medicine | 22741 Lambert St, Suite1607, Lake Forest, CA 92630-1617 | 2006-08-05 |
| Street Address |
1701 W. CURTIS |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61801-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114994928 | Shelly Jo Reiten | Clinical Nurse Specialist | 1701 W. Curtis, Champaign, IL 61822-9678 | 2006-03-01 |
| 1932740305 | Janice Frerichs | Nurse Practitioner | 1701 W. Curtis, Champaign, IL 61822 | 2019-10-07 |
| 1013311588 | Christine M Meeker | Nurse Practitioner | 1701 W. Curtis, Champaign, IL 61822-9678 | 2014-10-13 |
| 1982771234 | Robert T Woodward | Family Medicine | 1701 W. Curtis, Champaign, IL 61822 | 2006-11-30 |
| 1972516797 | Sam Moore | Family Medicine | 1701 W. Curtis, Champaign, IL 61822-9678 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566084 | Avani Sushilkumar Mohta | Internal Medicine | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2020-07-29 |
| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1447877089 | Muhammad Khalid Abbas | Internal Medicine | 611 W Park St Urbana, Urbana, IL 61801 | 2020-06-30 |
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1568090900 | Luke Andrew Fenlon | Student in an Organized Health Care Education/Training Program | Carle Forum Lower Level, Mc-474, 611 West Park Street, Urbana, IL 61801 | 2020-03-31 |
| 1912559691 | Ali Baltaji | Internal Medicine | 101 N Busey Apt 7, Urbana, IL 61801 | 2019-07-12 |
| 1821510918 | Pallavi Pradeep | Internal Medicine | Imrp, Carle Foundation Hospital, 611 W Park Street, Urbana, IL 61801 | 2017-07-11 |
| 1093236002 | Angela Lynn Devaney | Speech-Language Pathologist | 1400 W Park, Presence Covenant Medical Center, Urbana, IL 61801 | 2017-06-29 |
| 1346775236 | Jennifer Garcia | Student in an Organized Health Care Education/Training Program | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2017-04-27 |
| 1467992537 | Amber Kristine Davis | Speech-Language Pathologist | 1400 W. Park, Presence Health Medical Center, Urbana, IL 61801 | 2017-03-08 |
| Find all providers in zip 61801 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720301690 | Itai Rozovsky | Family Medicine | 1717 W Kirby Ave # 104, Champaign, IL 61821-5507 | 2010-03-08 |
| 1063671527 | George P. Savvas M.d., P.C. | Family Medicine | 212 W Springfield Ave, Champaign, IL 61820-4832 | 2008-06-09 |
| 1205000452 | Vasanthan G Naidu | Family Medicine | 504 S Draper Ave, Champaign, IL 61821-3842 | 2008-04-18 |
| 1639243868 | David J Fletcher | Family Medicine | 1806 N Market St, Champaign, IL 61822 | 2006-11-20 |
| 1568534907 | George Peter Savvas | Family Medicine | 212 West Springfield Avenue, Champaign, IL 61820-4832 | 2006-11-14 |
| 1639109879 | Joyce W Beitel | Family Medicine | 1701 W Curtis Road, Family Medicine/convenient Care, Champaign, IL 61822 | 2006-07-04 |
| 1235169426 | Stephanie(tess) A Bailey | Family Medicine | 1701 West Curtis, Champaign, IL 61822-9678 | 2006-07-03 |
| 1508895780 | Mahtab Tashakori | Family Medicine | 1802 South Mattis Ave, Champaign, IL 61821 | 2006-07-01 |
| 1972984698 | Elise Wessol | Family Medicine | 1813 W Kirby Ave Ste 120, Champaign, IL 61821 | 2015-06-18 |
| 1255711271 | Vishal Patel | Family Medicine | 1701 Curtis Rd, Champaign, IL 61822-9678 | 2015-06-04 |
| Find all providers in CHAMPAIGN | ||||
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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.