EDMOND T. GONZALES (NPI# 1568546521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568546521 |
| Entity Type | Individual |
| Full Name | EDMOND T. GONZALES |
| Credential | MD |
| Practice Address |
6701 Fannin St Houston TX 77030-2316 |
| Mailing Address |
2 Greenway Plz Suite 900 Houston TX 77046-0297 |
| Practice Telephone | 8328223160 |
| Practice Fax Number | 8328253159 |
| Mailing Telephone | 7137981750 |
| Mailing Fax Number | 7137981144 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2008-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2088P0231X |
Urology Specialization: Pediatric Urology |
E3181 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 136179204 | 05 | |
| TX | 136179205 | 05 | |
| TX | CSHCN | P0K069522 | 01 |
| TX | CSHCN | 136179206 | 01 |
| Street Address |
6701 FANNIN ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-2316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729897 | Ellen M. Friedman | Otolaryngology | 6701 Fannin St, Ste 540, Houston, TX 77030-2316 | 2005-06-09 |
| 1659996882 | Nohemi Garcia | Counselor | 6701 Fannin St, Houston, TX 77030-2608 | 2020-06-12 |
| 1801416326 | Rachelle Gerke | Nurse Anesthetist, Certified Registered | 6701 Fannin St, Houston, TX 77030-2608 | 2020-04-24 |
| 1962039560 | Carolina Coronel Bertero | Social Worker | 6701 Fannin St, Houston, TX 77030-2608 | 2020-03-24 |
| 1710511209 | Fumiya Yoneyama | Surgery | 6701 Fannin St, Houston, TX 77030-2608 | 2020-02-24 |
| 1952934853 | Erin Alycia Basile | Nurse Practitioner | 6701 Fannin St, Houston, TX 77030-2608 | 2020-02-19 |
| 1194358358 | Ashley Lynn Brenner | Nurse Practitioner | 6701 Fannin St, Houston, TX 77030-2608 | 2020-02-17 |
| 1316587108 | Megan Mckinney Williams | Nurse Anesthetist, Certified Registered | 6701 Fannin St, Houston, TX 77030-2608 | 2020-01-09 |
| 1205475985 | Taylor Ann Matson | Physician Assistant | 6701 Fannin St, Houston, TX 77030-2608 | 2019-12-30 |
| 1972140259 | Haley Aydam Lattal | Nurse Practitioner | 6701 Fannin St, Houston, TX 77030-2608 | 2019-12-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
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| Taxonomy Code | 2088P0231X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| Specialization | Pediatric Urology |
| Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). |
| Notes: Source: American Academy of Pediatrics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932543246 | Dung Pham | Urology | 1200 Binz St Ste 690, Houston, TX 77004-6943 | 2013-04-18 |
| 1659455616 | Lawrence J. Cisek | Urology | 6410 Fannin St Ste 950, Houston, TX 77030-5204 | 2006-10-25 |
| 1063044881 | Crescent Medical Institute Pllc | Urology | 1200 Binz St Ste 690, Houston, TX 77004-6943 | 2020-02-10 |
| 1821327404 | Houston Pediatric Urology P A | Urology | 7900 Fannin St, Suite 3700, Houston, TX 77054-2934 | 2009-12-10 |
| 1679776272 | Duong Dai Tu | Urology | 6701 Fannin St, Suite 620, Houston, TX 77030-2608 | 2007-06-09 |
| 1477637437 | David R. Roth | Urology | 6701 Fannin St, 8th Floor, Houston, TX 77030-2316 | 2006-10-25 |
| 1306921085 | Eric A. Jones | Urology | 7900 Fannin St, Suite 3700, Houston, TX 77054-2934 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679702377 | Andrew John Marks | Urology | 4499 Medical Dr Ste 360, San Antonio, TX 78229-3857 | 2009-07-02 |
| 1780719997 | Mohammad A Sami | Urology | 26019 Juniper Stone Ln, Katy, TX 77494-2615 | 2007-02-21 |
| 1366411803 | Warren Thomas Snodgrass | Urology | 5680 Frisco Square Blvd Ste 2300, Frisco, TX 75034 | 2006-03-16 |
| 1871589978 | Jeff L Pugach | Urology | 750 8th Ave Fl 6, Fort Worth, TX 76104-2515 | 2005-09-23 |
| 1033652425 | Pediatric Urology of San Antonio Pllc | Urology | 12446 West Ave, Ste 200, San Antonio, TX 78216-2517 | 2016-12-02 |
| 1619383650 | Pediatric and Adult Reconstructive Center for Urology, Pllc | Urology | 5680 Frisco Square Blvd, Suite 2300, Frisco, TX 75034-3308 | 2014-07-10 |
| 1326337874 | Matthew David Timberlake | Urology | 3601 4th St Stop 7260, Lubbock, TX 79430-0816 | 2011-04-06 |
| 1154641546 | Gaayana Raju | Urology | 4499 Medical Dr Ste 360, San Antonio, TX 78229-3857 | 2010-06-08 |
| 1700048964 | Jonathan David Kaye | Urology | 750 8th Ave Fl 6, Fort Worth, TX 76104-2515 | 2008-06-30 |
| 1942460191 | Irina Stanasel | Urology | 5323 Harry Hines Blvd, Dallas, TX 75390-1740 | 2008-06-11 |
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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.