DR. LUIS ALBERTO GONZALEZ (NPI# 1679660260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679660260 |
| Entity Type | Individual |
| Full Name | DR. LUIS ALBERTO GONZALEZ |
| Other Name | LUIS ALBERTO VAZQUEZ |
| Credential | MD |
| Practice Address |
3505 Lake City Hwy Warsaw IN 46580-3942 |
| Mailing Address |
Po Box 13008 Lansing MI 48901-3008 |
| Practice Telephone | 5742694144 |
| Practice Fax Number | 5742682281 |
| Mailing Telephone | 5173646253 |
| Mailing Fax Number | 5173646208 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 01080663A | IN | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 4301054514 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS INDIVIDUAL PIN | 1603304641 | 01 |
| MI | 2868162 | 05 | |
| MI | 4288420 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1100 W Saginaw St, Suite 630, Lansing, MI 489151925 | 5173646363 | 5173646364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427663780 | Luis Gonzalez | Licensed Vocational Nurse | 819 Sprucewood Ln, San Antonio, TX 78216-6039 | 2020-09-14 |
| 1538717137 | Luis Enrique Gonzalez | Social Worker | 10435 Sw 7th St, Miami, FL 33174-1662 | 2019-08-28 |
| 1740761055 | Luis Gonzalez | Pharmacist | Walmart Puerto Rico Inc, State Road #3 Km 15.2 Barrio Canovanillas, Carolina, PR 00987 | 2018-08-24 |
| 1194262485 | Luis Gonzalez | Nurse Practitioner | 16800 Nw 2nd Ave # 250, North Miami Beach, North Miami Beach, FL 33169-5549 | 2017-01-24 |
| 1639598915 | Luis Gonzalez | Counselor | 142 Osborne Rd, Albany, NY 12205-1934 | 2014-04-15 |
| 1457606394 | Luis E. Gonzalez | Pharmacist | Sr190 & Campo Rico, Carolina, PR 00979 | 2012-07-17 |
| 1942555107 | Luis M Gonzalez Sr. | Internal Medicine | 1200 S Federal Hway, Lux Medical Health Center, Hollywood, FL 33020 | 2012-07-13 |
| 1316221021 | Luis M Gonzalez | Counselor | 280 May St, Worcester, MA 01602-2548 | 2011-09-30 |
| 1851687800 | Luis Gonzalez | Clinic/Center | 145 Madeira Ave Ste 202, Coral Gables, FL 33134-4520 | 2011-06-28 |
| 1508159955 | Luis Angel Gonzalez | Counselor | 1202 Apollo Way, Santa Rosa, CA 95407 | 2011-05-18 |
| Street Address |
3505 LAKE CITY HWY |
| City | WARSAW |
| State | IN |
| Zip Code | 46580-3942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871581561 | Kevin M. Mcgeehan | Psychiatry & Neurology | 3505 Lake City Hwy, Warsaw, IN 46580-3942 | 2005-10-07 |
| 1033545306 | Julie Ferland | Podiatrist | 3505 Lake City Hwy, Warsaw, IN 46580-3942 | 2013-09-18 |
| 1952612814 | Brandon Michael Mccarty | Physician Assistant | 3505 Lake City Hwy, Warsaw, IN 46580-3942 | 2010-06-25 |
| 1558498105 | Jennifer M. Born | Physician Assistant | 3505 Lake City Hwy, Warsaw, IN 46580-3942 | 2007-02-28 |
| 1255436648 | Warsaw Health System, LLC | Neuromusculoskeletal Medicine, Sports Medicine | 3505 Lake City Hwy, Warsaw, IN 46580-3942 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346803772 | Amber Rae Parker | Physical Therapy Assistant | 2695 Shelden St., Warsaw, IN 46580 | 2019-04-22 |
| 1194255794 | Tyler Scott Kronk | Counselor | 105 Enterprise Drive, Warsaw, IN 46580 | 2017-06-15 |
| 1306244231 | Indiana Physical Therapy, Inc. | Clinic/Center | 3300 Lake City Hwy., Warsaw, IN 46580 | 2014-12-09 |
| 1922434687 | Yen Thi Vu | Pharmacist | 2400 East Center St, Warsaw, IN 46580 | 2013-09-25 |
| 1982956934 | Marsha Lynn Dreyer | Occupational Therapy Assistant | 300 E. Prairie Street, Warsaw, IN 46580 | 2012-10-15 |
| 1215286109 | Planned Parenthood of Indiana Warsaw | Clinic/Center | 630 S. Buffalo St., Suite 1, Warsaw, IN 46580 | 2012-09-06 |
| 1952636243 | Magdi Gabriel | Orthopaedic Surgery | 2087 Phaesant Ridge Drive, Warsaw, IN 46580 | 2009-10-05 |
| 1316132996 | Assisted Living Concepts Inc | Assisted Living Facility | 425 Chinworth Court, Warsaw, IN 46580 | 2007-09-07 |
| 1598986101 | Ericka Ester Haynes | Occupational Therapist | 900 Provident Drive, Warsaw, IN 46580 | 2007-05-01 |
| 1881819555 | Hartwiger Enterprises, Inc. | Home Health | 3510 Commerce Dr., Warsaw, IN 46580 | 2007-04-16 |
| Find all providers in zip 46580 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255511598 | Thaddeus Naprawa | Obstetrics & Gynecology | 36 Mount View Ave, Box 252, Warsaw, NY 14569-9555 | 2007-11-04 |
| 1528140886 | Lee A Harris Jr. | Obstetrics & Gynecology | 630 S Buffalo St, Suite 1, Warsaw, IN 46580-4372 | 2006-10-19 |
| 1982648721 | Donald A Durecki | Obstetrics & Gynecology | 1275 Provident Dr, Warsaw, IN 46580-3265 | 2006-06-15 |
| 1104881770 | Warsaw Ob Gyn PC | Obstetrics & Gynecology | 408 North Main St, Warsaw, NY 14569 | 2006-04-18 |
| 1487047338 | Wyoming County | Obstetrics & Gynecology | 400 N Main St, Warsaw, NY 14569-1025 | 2015-03-16 |
| 1962814434 | Elizabeth Kermis | Obstetrics & Gynecology | 408 N Main St, Warsaw, NY 14569-1015 | 2014-06-02 |
| 1891098141 | Wyoming Women's Health Care | Obstetrics & Gynecology | 408 N Main St, Warsaw, NY 14569-1015 | 2010-12-08 |
| 1699930206 | Wyoming Ob-gyn LLC | Obstetrics & Gynecology | 121 S Main St, Warsaw, NY 14569 | 2008-07-23 |
| 1215108634 | Jody Freyre | Obstetrics & Gynecology | 1275 Provident Dr, Warsaw, IN 46580-3265 | 2008-03-13 |
| 1295886166 | Roland C. Draughn | Obstetrics & Gynecology | 603 E College St, Warsaw, NC 28398-2104 | 2007-01-16 |
| Find all providers in WARSAW | ||||
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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.