J GAVIN GONZALEZ (NPI# 1427027408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427027408 |
| Entity Type | Individual |
| Full Name | J GAVIN GONZALEZ |
| Credential | MD |
| Practice Address |
4140 E Baseline Rd Ste 211 Mesa AZ 85206 |
| Practice Telephone | 4802738680 |
| Practice Fax Number | 4803067683 |
| Mailing Telephone | 4802738680 |
| Mailing Fax Number | 4803067683 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2012-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 26245 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AZ MEDICAL BOARD | 26245 | 01 |
| Street Address |
4140 E BASELINE RD STE 211 |
| City | MESA |
| State | AZ |
| Zip Code | 85206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962401562 | Melanie L Moore | Audiologist | 4140 E Baseline Rd, Suite 211, Mesa, AZ 85206-4412 | 2005-07-18 |
| 1619323045 | Vital4men, Pllc | Physician Assistant | 4140 E Baseline Rd, Ste 111, Mesa, AZ 85206-4412 | 2016-05-04 |
| 1265856991 | Scott Kerr | Social Worker | 4140 E Baseline Rd, Suite 101, Mesa, AZ 85206-4412 | 2014-02-17 |
| 1598029050 | Kami Hirons | Preventive Medicine | 4140 E Baseline Rd, #110, Mesa, AZ 85206-4412 | 2012-06-29 |
| 1912225434 | Andrea Marie Minesaki | Naturopath | 4140 E Baseline Rd, #110, Mesa, AZ 85206-4412 | 2010-05-07 |
| 1780842757 | Janette Marie Berry | Audiologist-Hearing Aid Fitter | 4140 E Baseline Rd, Suite 211, Mesa, AZ 85206-4412 | 2008-05-27 |
| 1952569055 | Linda Seale Tiltman | Audiologist-Hearing Aid Fitter | 4140 E Baseline Rd, Suite 211, Mesa, AZ 85206-4412 | 2008-05-27 |
| 1023288933 | Diabetic Health Supply L.L.C. | Durable Medical Equipment & Medical Supplies | 4140 E Baseline Rd, Mesa, AZ 85206-4412 | 2008-03-06 |
| 1114119468 | Amy Lynn O'hara | Naturopath | 4140 E Baseline Rd, Suite 110, Mesa, AZ 85206-4412 | 2007-08-10 |
| 1659490407 | Tiffany Jones | Social Worker | 4140 E Baseline Rd, Suite 101, Mesa, AZ 85206-4413 | 2007-03-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285178756 | Herbert Wong | Otolaryngology | 5505 E Mclellan Rd Unit 118, Mesa, AZ 85205-3409 | 2016-12-18 |
| 1902206683 | Robert Peterson | Otolaryngology | 3921 E Nora Cir, Mesa, AZ 85215-1077 | 2014-08-29 |
| 1831159151 | Janelle A. Y. Engel | Otolaryngology | 1520 S. Dobson Road, Suite 305, Mesa, AZ 85202 | 2006-03-23 |
| 1366497976 | Glenn B. Rothman | Otolaryngology | 1520 S. Dobson Road, Suite 305, Mesa, AZ 85202 | 2006-05-23 |
| 1669449401 | Robert Henry Thompson IIi | Otolaryngology | 2058 S Dobson Rd, #10, Mesa, AZ 85202-6455 | 2006-03-01 |
| 1114994951 | Raquel A Redtfeldt | Otolaryngology | 4140 E Baseline Rd, Suite 211, Mesa, AZ 85206-4412 | 2006-03-01 |
| 1740252147 | Leopold K Yin | Otolaryngology | 4140 E Baseline Rd, Suite 211, Mesa, AZ 85206-4412 | 2006-02-02 |
| 1174501852 | Thomas J Ketterer | Otolaryngology | 560 W Brown Rd, #1008, Mesa, AZ 85201-3221 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407476195 | Arizona Breathe Free Sinus & Allergy Centers | Otolaryngology | 9377 E Bell Rd Ste 207, Scottsdale, AZ 85260-1504 | 2020-04-22 |
| 1114546660 | Claire Marguerite Eileen Gleadhill | Otolaryngology | 1501 N Campell Ave, Tucson, AZ 85724-0001 | 2020-04-15 |
| 1861020703 | Southwest Ear, Nose & Throat, Pllc | Otolaryngology | 1760 Mcculloch Blvd N Ste 102, Lake Havasu City, AZ 86403-6559 | 2020-03-27 |
| 1093348096 | Southwest Ear, Nose, & Throat Specialists | Otolaryngology | 1760 Mcculloch Blvd N Ste 100, Lake Havasu City, AZ 86403-6559 | 2020-02-18 |
| 1225543036 | Tri-state Sinus Center | Otolaryngology | 2020 Silver Creek, B101, Bullhead City, AZ 86442 | 2017-12-04 |
| 1497277768 | Brent Allen Chang | Otolaryngology | 5777 E Mayo Blvd Dept Of, Phoenix, AZ 85054-4502 | 2017-07-08 |
| 1255750162 | John Stanton Hamblin | Otolaryngology | 726 N Greenfield Rd Ste 101, Gilbert, AZ 85234-5062 | 2014-04-08 |
| 1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
| 1316280142 | Shilpa Sindhu Vishwanath | Otolaryngology | 2051 W Chandler Blvd Ste 5, Chandler, AZ 85224-6239 | 2013-03-29 |
| 1376819417 | Alexander Davis Lund | Otolaryngology | 77 W Forest Ave Ste 107, Flagstaff, AZ 86001 | 2012-03-22 |
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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.