GONZALO T CHUA (NPI# 1699718098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699718098 |
| Entity Type | Individual |
| Full Name | GONZALO T CHUA |
| Credential | MD |
| Practice Address |
1701 N Senate Blvd Room 1204a Indianapolis IN 46202-1239 |
| Mailing Address |
714 N Senate Ave Ste Ef100 Indianapolis IN 46202-3763 |
| Practice Telephone | 3179626793 |
| Practice Fax Number | 3179628281 |
| Mailing Telephone | 3177156402 |
| Mailing Fax Number | 3177156415 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2010-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
01021628 | IN | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
01021628 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RAILROAD MEDICARE | P00275181 | 01 |
| IN | RAILROAD MEDICARE | P00742701 | 01 |
| IN | ANTHEM BCBS | 000000556651 | 01 |
| IN | 100348850 | 05 |
| Street Address |
1701 N SENATE BLVD ROOM 1204A |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-1239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073501235 | Lara Jane Pesavento | Anesthesiology | 1701 N Senate Blvd, Indianapolis, IN 46202-1239 | 2005-10-12 |
| 1508475526 | Wade Everett Oliver | Nurse Practitioner | 1701 N Senate Blvd, Indianapolis, IN 46202-1239 | 2020-07-27 |
| 1538778600 | Marleana Leann Groh | Nurse Practitioner | 1701 N Senate Blvd, Indianapolis, IN 46202-1239 | 2020-07-24 |
| 1982225447 | Saily Jacqueline Guerra | Dietitian, Registered | 1701 N Senate Blvd, Indianapolis, IN 46202-1239 | 2020-05-06 |
| 1013538826 | Paige Randolph | Nurse Practitioner | 1701 N Senate Blvd, Indianapolis, IN 46202-1239 | 2020-05-04 |
| 1780213926 | John Peacock | Student in an Organized Health Care Education/Training Program | 1701 N Senate Blvd, Indianapolis, IN 46202-1239 | 2020-04-08 |
| 1295354462 | Kylie J Miller | Student in an Organized Health Care Education/Training Program | 1701 N Senate Blvd, Indianapolis, IN 46202-1239 | 2020-04-08 |
| 1962031492 | Kristina Lynn Mathey | Counselor | 1701 N Senate Blvd, Indianapolis, IN 46202-1239 | 2020-04-06 |
| 1023647674 | Lindsay Nicole Troyer | Student in an Organized Health Care Education/Training Program | 1701 N Senate Blvd, Indianapolis, IN 46202-1239 | 2020-04-06 |
| 1548894686 | Courtney Leanne Kroes | Social Worker | 1701 N Senate Blvd, Indianapolis, IN 46202-1239 | 2020-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699705251 | Aslam R Siddiqui | Radiology | 1701 N Senate Blvd, Room 1204a, Indianapolis, IN 46202-1239 | 2006-07-03 |
| 1720021694 | Steven Westphal | Radiology | 1701 N Senate Blvd, Room 1204a, Indianapolis, IN 46202-1239 | 2006-06-14 |
| 1750324737 | Donald S Schauwecker | Radiology | 1701 N Senate Blvd, Room 1204a, Indianapolis, IN 46202-1239 | 2006-06-14 |
| 1760425284 | Mark C Estrada | Radiology | 1701 N Senate Blvd, Room 1204a, Indianapolis, IN 46202-1239 | 2006-06-13 |
| 1275575375 | James Fletcher | Radiology | 1701 N Senate Blvd, Room 1204a, Indianapolis, IN 46202-1239 | 2006-06-12 |
| 1841299724 | Indianapolis Regional Pet Scan LLC | Radiology | 3830 Shore Dr, Suite B, Indianapolis, IN 46254-5657 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073912440 | Larry L Heck | Radiology | 47 Hickory Ridge Cir, Cicero, IN 46034-9737 | 2014-08-21 |
| 1568417442 | Paul E Gandy | Radiology | 830 N Theatre Drive, Marion, IN 46952-1700 | 2006-05-23 |
| 1467776385 | Lil Family Inc | Radiology | 2401 W University Ave, Muncie, IN 47303-3428 | 2010-03-22 |
| 1750547493 | Rajiv Kumar | Radiology | 8701 Broadway, Merrillville, IN 46410-7035 | 2008-08-01 |
| 1992872634 | Suk S Lee M.d. Inc | Radiology | 1400 E 9th St, Rochester, IN 46975-8931 | 2006-11-29 |
| 1881779700 | Jonathan Wade Weiss | Radiology | 620 W Edison Rd, Suite 110, Mishawaka, IN 46545-2784 | 2006-10-26 |
| 1447286695 | Nufinity - Woodlawn, LLC | Radiology | 1400 E 9th St, Rochester, IN 46975-8931 | 2006-06-22 |
| 1427098979 | James M Forde | Radiology | 825 E Lincolnway, Valparaiso, IN 46383-5803 | 2006-06-06 |
| 1619924461 | Maximo V. Bleza | Radiology | 825 E Lincolnway, Valparaiso, IN 46383-5803 | 2006-05-27 |
| 1417909896 | Unity Healthcare, LLC | Radiology | 1411 S Creasy Ln, Suite 130, Lafayette, IN 47905-7433 | 2006-05-16 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on GONZALO T CHUA.
| 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.