ANGIE T GONZALES (NPI# 1457598427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457598427 |
Entity Type | Individual |
Full Name | ANGIE T GONZALES |
Credential | CPO |
Practice Address |
3910 Gaston Ave Dallas TX 75246-1511 |
Practice Telephone | 2148272021 |
Practice Fax Number | 2148235462 |
Mailing Telephone | 2148272021 |
Mailing Fax Number | 2148235462 |
Enumeration Date | 2009-01-13 |
Last Update Date | 2009-01-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 222Z00000X | Orthotist | LPO 1271 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 224P00000X | Prosthetist | LPO 1271 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
3910 GASTON AVE |
City | DALLAS |
State | TX |
Zip Code | 75246-1511 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
1841710266 | Stephanie Chartier-plante | Student in an Organized Health Care Education/Training Program | 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 | 2017-06-27 |
1528505096 | Adam Bohnenblust | Chiropractor | 411 N Washington Ave Ste 2200, Dallas, TX 75246 | 2017-01-23 |
1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
1386031185 | Lisa Voigt | Student in an Organized Health Care Education/Training Program | 3501 Junius Street, Dallas, TX 75246 | 2015-04-20 |
1891107843 | Jessica Shie | Internal Medicine | Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 | 2014-05-27 |
Find all providers in zip 75246 |
Taxonomy Code | 224P00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Prosthetist |
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477151678 | Emelia A Nwokobia | Prosthetist | 5218 Urban Crest Rd, Dallas, TX 75227-1530 | 2020-10-12 |
1053950303 | Billy Gordon | Prosthetist | 4001 Ross Ave Apt 111, Dallas, TX 75204-5252 | 2020-01-04 |
1669029849 | Monika J Salon LLC | Prosthetist | 17610 Midway Rd Ste 122, Dallas, TX 75287-6741 | 2019-08-21 |
1275051807 | Vermelle Minor | Prosthetist | 4341 Horizon Pkwy 132, Dallas, TX 75287 | 2017-09-04 |
1902033996 | Misty Judson | Prosthetist | 6011 Harry Hines Blvd., Ste #v5.400, Dallas, TX 75390-9091 | 2009-06-17 |
1639153950 | Catherine Amy Miller Mehary | Prosthetist | 5496 La Sierra Dr, Dallas, TX 75231-4108 | 2005-11-30 |
1578112819 | Styles By Angie K, LLC | Prosthetist | 5402 Arapaho Rd, Dallas, TX 75248-6905 | 2019-09-10 |
1598324345 | Fabian Soldevilla | Prosthetist | 6011 Harry Hines Blvd, Dallas, TX 75390-9091 | 2019-06-06 |
1447738273 | Dara Breanne Spivey | Prosthetist | 6011 Harry Hines Blvd Ste V2.302, Dallas, TX 75235-5386 | 2018-08-02 |
1811498843 | Taneisha Volcy | Prosthetist | 1408 N Riverfront Blvd # 304, Dallas, TX 75207-3912 | 2018-02-25 |
Find all providers in DALLAS |
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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.