PHILLIP J GONZALES (NPI# 1720095409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720095409 |
| Entity Type | Individual |
| Full Name | PHILLIP J GONZALES |
| Credential | MD |
| Practice Address |
8325 City Centre Dr Woodbury MN 55125-3605 |
| Mailing Address |
2025 Sloan Pl Ste 35 Saint Paul MN 55117-2092 |
| Practice Telephone | 6517310859 |
| Practice Fax Number | 6517310976 |
| Mailing Telephone | 6517721572 |
| Mailing Fax Number | 6517721889 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2019-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 30345 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 114383200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306366745 | Phillip Gonzales | Counselor | 2017 Hudson Lane, Monrroe, LA 71201 | 2017-06-27 |
| Street Address |
8325 CITY CENTRE DR |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-3605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316939564 | Thomas E Jones | Family Medicine | 8325 City Centre Dr, Woodbury, MN 55125-3323 | 2005-08-15 |
| 1407318553 | Oluseyi O Fashusi | Physician Assistant | 8325 City Centre Dr, Woodbury, MN 55125-3323 | 2019-04-05 |
| 1093243941 | Jessica Ruth Taylor | Family Medicine | 8325 City Centre Dr, Woodbury, MN 55125-3323 | 2017-05-23 |
| 1467989749 | Michael S Butler | Physician Assistant | 8325 City Centre Dr, Woodbury, MN 55125-3323 | 2017-05-17 |
| 1689051765 | Charles Thomas Pokora | Family Medicine | 8325 City Centre Dr, Woodbury, MN 55125-3323 | 2015-04-28 |
| 1982884615 | Family Healthservices Minnesota, P.a. | Family Medicine | 8325 City Centre Dr, Woodbury, MN 55125-3323 | 2007-11-09 |
| 1396962403 | Minnhealth Family Physicians, P.a. | Family Medicine | 8325 City Centre Dr, Woodbury, MN 55125-3323 | 2007-04-19 |
| 1568503795 | Family Healthservices Minnesota, P.a | Non-Pharmacy Dispensing Site | 8325 City Centre Dr, Woodbury, MN 55125-3323 | 2007-02-09 |
| 1225049315 | William K Drehmel | Family Medicine | 8325 City Centre Dr, Woodbury, MN 55125-3605 | 2006-08-11 |
| 1184635260 | Robert V Drehmel | Family Medicine | 8325 City Centre Dr, Woodbury, MN 55125-3605 | 2006-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942747365 | Balsam Partners, Pllc | Family Medicine | 203 W High St # 24, Woodbury, TN 37190-1147 | 2017-01-23 |
| 1720271356 | Mona Parmar | Family Medicine | 10248 Grand Oaks Trl, Woodbury, MN 55129-4249 | 2007-08-27 |
| 1831317320 | East Metro Family Practice, P.a. | Family Medicine | 2056 Woodlane Dr, Woodbury, MN 55125-2917 | 2007-04-23 |
| 1962578807 | Barbara J Roehl | Family Medicine | 75 W. Red Bank Ave, Woodbury, NJ 08096 | 2006-11-24 |
| 1104905462 | Andrea Jill Needleman | Family Medicine | 4 South Pomperaug Ave, Woodbury, CT 06798 | 2006-11-06 |
| 1306924915 | James Ilko | Family Medicine | 1687 Woodlane Drive, Suite 102, Woodbury, MN 55125-3045 | 2006-11-01 |
| 1942237151 | Sandra Louise Coffin | Family Medicine | 8360 City Centre Dr, Suite 120, Woodbury, MN 55125-3381 | 2006-06-26 |
| 1700823713 | Jeff Todd | Family Medicine | 205 S Mccrary St, Woodbury, TN 37190-1439 | 2006-05-31 |
| 1205882438 | Emi Chiusano | Family Medicine | 875 Mantua Pike, Woodbury, NJ 08096-3337 | 2006-05-26 |
| 1659332021 | Mary L Ezzo | Family Medicine | 8675 Valley Creek Road, Woodbury, MN 55125-2337 | 2006-03-28 |
| Find all providers in WOODBURY | ||||
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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.