DR. JORGE LUIS GONZALEZ (NPI# 1407887060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407887060 |
| Entity Type | Individual |
| Full Name | DR. JORGE LUIS GONZALEZ |
| Credential | M.D. |
| Practice Address |
1 Medical Center Drive Lebanon NH 03753 |
| Mailing Address |
Po Box 659 Lebanon NH 03766 |
| Practice Telephone | 6036507215 |
| Practice Fax Number | 6036507214 |
| Mailing Telephone | 6036507215 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
9079 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 80002924 | 05 | |
| VT | 0RE2924 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336668052 | Jorge L Gonzalez Sr. | Ambulance | 19 Calle Figueras Interseccion Calle Ermerinda Rivera, Jayuya, PR 00664 | 2017-09-13 |
| 1154756971 | Jorge Eduardo Gonzalez | Pharmacist | 7422 Gall Blvd, Zephyrhills, FL 33541-4310 | 2013-09-11 |
| 1366728057 | Jorge A Gonzalez | Nurse Practitioner | 300 Northwest Dr, Miami, FL 33126-4252 | 2011-10-26 |
| 1457651242 | Jorge Gonzalez | Licensed Practical Nurse | 6889 Nw 179th St Apt 305, Hialeah, FL 33015-7465 | 2010-10-26 |
| 1043533201 | Jorge Gonzalez | Massage Therapist | 346 Ashley Loop, Davenport, FL 33837-8820 | 2010-03-02 |
| 1497077515 | Jorge Valenciano Gonzalez | Social Worker | 1403 Lookout, Edinburg, TX 78541-2308 | 2010-02-16 |
| 1265687610 | Jorge Nelson Gonzalez | Speech-Language Pathologist | 560 W 43rd St Apt 18h, New York, NY 10036-4313 | 2008-11-26 |
| 1770737603 | Jorge L Gonzalez | Community Health Worker | 8425 Nw 8th St, 403, Miami, FL 33126-3769 | 2008-11-05 |
| 1528215472 | Jorge R. Gonzalez | Psychologist | 23370 Rd 22, Chowchilla, CA 93610-1501 | 2008-08-22 |
| 1366567539 | Jorge R Gonzalez | Dentist | 1301 E Us Highway 83, Mcallen, TX 78501 | 2007-03-20 |
| Street Address |
1 MEDICAL CENTER DRIVE |
| City | LEBANON |
| State | NH |
| Zip Code | 03753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987560 | Kimberly Ruth Haller | Nurse Practitioner | 1 Medical Center Drive, Lebanon, NH 03756 | 2020-06-25 |
| 1306409818 | Kyle Lance Holsted | Physician Assistant | 1 Medical Center Drive, Department of Surgery, Lebanon, NH 03756-0001 | 2019-04-19 |
| 1639643919 | Michael Patrick Gaffney | Physician Assistant | 1 Medical Center Drive, Dartmouth Hitchcock - Otolaryngology, Lebanon, NH 03756 | 2019-01-19 |
| 1780189134 | Hannah Louise Duane | Student in an Organized Health Care Education/Training Program | 1 Medical Center Drive, Dhmc-dept of Internal Medicine, Lebanon, NH 03756-1000 | 2018-03-28 |
| 1295239135 | Erica Katherine Gotow | Student in an Organized Health Care Education/Training Program | 1 Medical Center Drive, Dhmc Department of Psychiatry, Lebanon, NH 03756-0001 | 2018-03-23 |
| 1427597012 | Evan C Bick | Psychologist | 1 Medical Center Drive, 5d-psychiatry, Lebanon, NH 03756 | 2017-02-16 |
| 1447614391 | James Harvey Elder Iv | Student in an Organized Health Care Education/Training Program | 1 Medical Center Drive, Emergency Medicine Residency Office, Lebanon, NH 03766 | 2016-04-07 |
| 1669866596 | Elizabeth Schwartz | Psychiatry & Neurology | 1 Medical Center Drive, Psychiatry Department, Lebanon, NH 03756-1000 | 2015-03-28 |
| 1841618899 | Minda A Gowarty | Internal Medicine | 1 Medical Center Drive, Dartmouth Hitchcock - Internal Medicine, Lebanon, NH 03756 | 2014-04-06 |
| 1952747446 | Kerrilynn Carney Hennessey | Internal Medicine | 1 Medical Center Drive, Department of Cardiology, Lebanon, NH 03756 | 2013-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790345643 | Lara Pirro | Marriage & Family Therapist | 48 Troon Drive, Grantham, NH 03753 | 2019-06-13 |
| 1396236196 | Marin Christiana Amyotte | Occupational Therapist | 151 Nh-10, Unit #2, Grantham, NH 03753 | 2018-05-29 |
| 1376087403 | Owen Dow | Surgery | 6 Wedgewood Dr, Granthan, NH 03753 | 2016-12-08 |
| 1104067180 | Rebecca Lynne Johnson | Psychiatry & Neurology | 7 Longwood Drive, Grantham, NH 03753 | 2009-03-20 |
| 1871775320 | Janet L Correia | Occupational Therapist | 77 Greensward Dr, Grantham, NH 03753 | 2007-11-27 |
| 1164626206 | Sau 75grantham | Local Education Agency (LEA) | 300 Rte 10 South, Grantham, NH 03753 | 2007-06-13 |
| 1932317070 | Shelia Kathleen Cardamone | Physical Therapist | 33 Wintercroft Circle, Grantham, NH 03753 | 2007-05-21 |
| 1952433385 | Schmidt Therapies, LLC | Physical Therapist | Sawyer Brook Plaza Route 10, 4, Grantham, NH 03753 | 2007-03-12 |
| 1447393087 | Glengaynor Psychotherapy Practice, LLC | Nurse Practitioner | 120 Route 10, Sawyer Brook Plaza-suite 10, Grantham, NH 03753 | 2007-02-14 |
| 1467503318 | James J. Gaynor | Nurse Practitioner | 120 Rte 10, Sawyer Brook Plaza- Suite 10, Grantham, NH 03753 | 2007-01-16 |
| Find all providers in zip 03753 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831456078 | Shabnam Momtahen | Pathology | 1 Medical Center Dr Dept Of, Lebanon, NH 03756-1000 | 2012-04-12 |
| 1902359540 | Chun-chieh Lin | Pathology | 1 Medical Dr, Lebanon, NH 03756-0001 | 2016-08-01 |
| 1285009076 | Lananh N Nguyen | Pathology | 1 Medical Center Dr, Dhmc-pathology, Lebanon, NH 03756-1000 | 2015-12-05 |
| 1043625734 | Juliana Andrici | Pathology | One Medical Center Dr, Lebanon, NH 03756-0001 | 2014-06-22 |
| 1992116206 | Jessica Leigh Dillon | Pathology | One Medical Center Dr, Dartmouth Hitchcock - Pathology, Lebanon, NH 03756 | 2014-05-08 |
| 1528300803 | George John Zanazzi | Pathology | One Medical Center Drive, Lebanon, NH 03756-0001 | 2013-03-25 |
| 1558628321 | Kristen Elaine Muller | Pathology | 1 Medical Center Dr Dept Of, Lebanon, NH 03756-1000 | 2012-04-18 |
| 1114216751 | Seth Charles Lummus | Pathology | 1 Medical Center Dr, Lebanon, NH 03756 | 2011-04-05 |
| 1770804924 | Darcy A Kerr | Pathology | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2010-06-22 |
| 1376868299 | Isabella Wetherill Martin | Pathology | 1 Medical Center Dr, Dhmc Department of Pathology, Lebanon, NH 03756-1000 | 2010-04-03 |
| Find all providers in LEBANON | ||||
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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.