ALEX L GONZALES (NPI# 1750398822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750398822 |
| Entity Type | Individual |
| Full Name | ALEX L GONZALES |
| Credential | MD |
| Practice Address |
4251 Nw American Ln Ste 101 Lake City FL 32055-4881 |
| Practice Telephone | 3867586143 |
| Practice Fax Number | 3867586046 |
| Mailing Telephone | 3864388541 |
| Mailing Fax Number | 3867586046 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2010-09-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME61910 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 266292200 | 05 | |
| BCBS | 15072 | 01 |
| Street Address |
4251 NW AMERICAN LN STE 101 |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32055-4881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043820376 | Jan Kenneth Gonzales | Nurse Practitioner | 4251 Nw American Ln, Lake City, FL 32055-8844 | 2020-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114439510 | Melissa Fay Peters | Nurse Practitioner | 5085 West Us Highway 90, Lake City, FL 32055 | 2017-10-26 |
| 1851801765 | Stephanie Jo Nogle | Occupational Therapist | Brooks Americare: 4251 Nw American Ln, #103, Lake City, FL 32055 | 2017-10-05 |
| 1831617273 | Erica Mayo | Pharmacist | 4846 Nw Lake Jeffery Rd., Lake City, FL 32055 | 2017-09-06 |
| 1144759333 | Jerry Hamilton Cheesman | Dentist | 217 Ne Franklin Sreet, Lake City, FL 32055 | 2017-06-09 |
| 1487183745 | Joshua Allore | Dentist | 2970 W Us Highway 90., Lake City, FL 32055 | 2017-06-08 |
| 1497298418 | Careing Hands | Preferred Provider Organization | 1471nw Queen Rd, Lakecity, FL 32055 | 2016-11-22 |
| 1881148278 | Corniqueca Stewart-simmons | Nurse Practitioner | 340 Nw Commerce Drive, Lake City, FL 32055 | 2016-08-15 |
| 1164809141 | Latasha Harten-jones | Licensed Practical Nurse | 443 Ne Sims Dr, Lake City, FL 32055 | 2015-04-29 |
| 1154716447 | Lindsey Morton | Counselor | 219 Se Baya Avenue, Lake City, FL 32055 | 2015-04-02 |
| 1124439351 | Tynette Jordan | Counselor | 708 N.w Wilson St., Lake City, FL 32055 | 2014-05-09 |
| Find all providers in zip 32055 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558655027 | Marianne Hazelitt | Internal Medicine | 1005 Sw Walter Ave, None, Lake City, FL 32024-1757 | 2011-06-02 |
| 1427380823 | Ankem Ravindra Md Pa | Internal Medicine | 1740 W Us Highway 90, Suite 101, Lake City, FL 32055-4718 | 2010-02-10 |
| 1437345907 | Richard J Misischia | Internal Medicine | 110 Industrial Park Ln, Lake City, TN 37769-2300 | 2007-09-19 |
| 1841481512 | Alex L Gonzales Md Pa | Internal Medicine | 4251 Nw American Lane, Ste 101, Lake City, FL 32055-4881 | 2007-08-07 |
| 1427254283 | Michael C Ukaegbu | Internal Medicine | 221 Sw Stonegate Ter Ste 101, Lake City, FL 32024-3463 | 2007-06-26 |
| 1598775850 | Gregory Lambourne | Internal Medicine | 1866 S Morey Rd, Lake City, MI 49651-9190 | 2006-08-09 |
| 1699798074 | Mohammed G Choudhury, Mdpa. | Internal Medicine | 155 Nw Enterprise Way, Lake City, FL 32055-8837 | 2006-07-26 |
| 1174545271 | Sotero M Ureta IIi | Internal Medicine | 112 E John Street, Lake City, MI 49651-0629 | 2006-07-25 |
| 1750346714 | Krishnarao V Tummala | Internal Medicine | 619 S .marion Ave, Lake City Va Medical Center, Lake City, FL 32025 | 2006-04-20 |
| 1144204991 | Internal Medicine of Lake City, Pa | Internal Medicine | 334 Sw Commerce Dr, Suite 2, Lake City, FL 32025-1502 | 2005-12-05 |
| Find all providers in LAKE CITY | ||||
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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.