ENRIQUE GONZALEZ


Address: 3217 Mabel St, Shreveport, LA 71103
Phone: 3186319121

ENRIQUE GONZALEZ (NPI# 1538187752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538187752
Entity Type Individual
Full Name ENRIQUE GONZALEZ
Credential M.D.
Practice Address 3217 Mabel St
Shreveport
LA 71103
Mailing Address 3217 Mabel St
Shreveport
LA 71103-4022
Practice Telephone 3186319121
Practice Fax Number 3186319126
Mailing Telephone 3186319121
Mailing Fax Number 3186386018
Enumeration Date 2006-07-17
Last Update Date 2018-06-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
03991R LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1436984 05

Other Providers ENRIQUE GONZALEZ

NPI Name Taxonomy Address Enumeration
1538772694 Enrique Gonzalez Massage Therapist 9 Hammond Plz, Beacon, NY 12508-3139 2020-08-28
1730637943 Enrique Gonzalez Specialist/Technologist, Other 2901 Sw 19th Ter, Miami, FL 33145-1933 2016-09-16
1487925723 Enrique Gonzalez Speech-Language Pathologist 160 W 66th St Apt 18f, New York, NY 10023-6556 2012-01-18
1548393697 Enrique Gonzalez Jr. Physician Assistant 2121 E Griffin Parkway #6, Mission, TX 78572 2007-03-14
1932231982 Enrique A Gonzalez Dentist 39 Calle Dr Veve, Bayamon, PR 00961-6301 2007-03-12
1023161684 Enrique Jose Gonzalez General Practice 321 S Mednik Ave, Los Angeles, CA 90022 2007-01-18
1942816558 Enrique Gonzalez Speech-Language Pathologist 4601 66th St Ste D, Lubbock, TX 79414-4875 2020-09-18
1295200079 Enrique L Gonzalez Behavior Technician 125 E Nasa Blvd, Melbourne, FL 32901-1900 2018-10-09
1437502788 Enrique Gonzalez Counselor 850 E Foothill Blvd, Rialto, CA 92376-5230 2016-07-21
1790161206 Enrique Gonzalez Jr. Case Manager/Care Coordinator 11059 E Bethany Dr, Aurora, CO 80014-2622 2015-08-06

Office Location

Street Address 3217 MABEL ST
City SHREVEPORT
State LA
Zip Code 71103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861495822 Michael Bivens Brannan Internal Medicine 3217 Mabel St, Shreveport, LA 71103-4022 2005-05-24
1770083164 Shreveport Sedation Associates LLC Nurse Anesthetist, Certified Registered 3217 Mabel St, Shreveport, LA 71103-4022 2018-02-13
1275051229 Dustin Lane Chapman Hadley Physician Assistant 3217 Mabel St, Shreveport, LA 71103 2017-08-30
1316492770 Angela Price Booker Nurse Practitioner 3217 Mabel St, Shreveport, LA 71103-4022 2016-08-15
1497101091 Daniel Robert Martin Dietitian, Registered 3217 Mabel St, Shreveport, LA 71103-4022 2016-05-12
1386997351 Jeremy Payne Davis Nurse Practitioner 3217 Mabel St, Shreveport, LA 71103-4022 2012-10-16
1659677540 Brandi Barber Stephens Nurse Practitioner 3217 Mabel St, Shreveport, LA 71103-4022 2011-02-10
1932349412 Natravis R. Cox Internal Medicine 3217 Mabel St, Shreveport, LA 71103 2009-02-24
1518105774 Lauren Malu Strange Nurse Anesthetist, Certified Registered 3217 Mabel St, Shreveport, LA 71103-4022 2009-01-27
1922254002 Joann E Warrick Colon & Rectal Surgery 3217 Mabel St, Shreveport, LA 71103 2008-08-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083124887 Elizabeth Ponder Case Manager/Care Coordinator 404 Hearne Avenue, Shreveport, LA 71103 2017-10-05
1245648393 Madiha Tariq General Acute Care Hospital Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 2014-07-31
1659782688 Jennifer G Smith Pharmacist 1725 Claiborne Ave, Shreveport, LA 71103 2014-05-13
1336568823 Taylor Jieun Jung Student in an Organized Health Care Education/Training Program Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 2014-04-10
1578984746 Jamie Terrell Pharmacist 1625 Claiborne Ave, Shreveport, LA 71103 2013-12-13
1346675188 Srijan Tandukar Internal Medicine 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 2013-09-12
1699017681 Deanna Elise Mossallati Internal Medicine 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 2013-03-18
1346527330 Tim M Smith Clinical Exercise Physiologist 3200 Greenwood Rd., Shreveport, LA 71103 2011-11-04
1144451683 Second Chance Recovery Durable Medical Equipment & Medical Supplies 3816 Linwood, Shreveport, LA 71103 2009-07-31
1093919920 Neeraj Singh Internal Medicine 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 2007-06-13
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Taxonomy Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

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. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477541860 Carrie L. Bearden Pathology 2915 Missouri Ave., Shreveport, LA 71109 2005-10-10
1487915054 Steven K Ellsworth Pathology 1501 Kings Hwy, Shreveport, LA 71103-4228 2012-05-31
1134495401 Aaron Joseph Cotrell Pathology 2915 Missouri Ave, Shreveport, LA 71109-4327 2012-03-30
1144515412 Kirtesh Harshad Patel Pathology 2915 Missouri Ave, Shreveport, LA 71109-4327 2011-06-15
1669764072 Mingxia Shi Pathology 1501 Kings Hwy, Shreveport, LA 71103-4228 2011-05-04
1487944930 Matthew Bryan Mastrodomenico Pathology 2915 Missouri Ave, Shreveport, LA 71109-4327 2011-04-17
1891084125 Firas Al-delfi Pathology 1501 Kings Hwy, Shreveport, LA 71103-4228 2011-04-07
1679872329 Luis Soto Pathology 2915 Missouri Ave, Shreveport, LA 71109-4327 2011-03-21
1104144211 Jared Dale Barker Pathology 2915 Missouri Ave, Shreveport, LA 71109-4327 2010-05-13
1659515351 Bruce Herrington Pathology 2915 Missouri Ave, Shreveport, LA 71109-4327 2009-04-24
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Competitor

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City SHREVEPORT
Zip Code 71103

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Dataset Information

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.

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