DR. JAY MICHAEL GOSPE (NPI# 1770853806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770853806 |
| Entity Type | Individual |
| Full Name | DR. JAY MICHAEL GOSPE |
| Credential | M.D. |
| Practice Address |
1701 Pamela Dr Santa Rosa CA 95404-3140 |
| Practice Telephone | 7075428474 |
| Practice Fax Number | 7075955117 |
| Mailing Telephone | 7075428474 |
| Mailing Fax Number | 7075955117 |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2012-01-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
G11211 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA STATE LICENSE | G11211 | 01 |
| Street Address |
1701 PAMELA DR |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404-3140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| Find all providers in zip 95404 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1790883080 | Paul T. Kefalides | Internal Medicine | 98 Montgomery Dr, Ste C, Santa Rosa, CA 95404-6615 | 2006-09-20 |
| 1144284290 | Richard Mcguire Auld Jr. | Internal Medicine | 1210 Sonoma Avenue, Suite B, Santa Rosa, CA 95405-6648 | 2006-04-14 |
| 1528037124 | Jeffrey Bruce Rothman | Internal Medicine | 4465 Abbey Ln, Santa Rosa, CA 95401-5617 | 2006-03-16 |
| 1366426587 | Sumit Kohli | Internal Medicine | 1210 Sonoma Ave, Suite B, Santa Rosa, CA 95405 | 2005-12-01 |
| 1023192093 | Scott M. Trahms | Internal Medicine | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-10-25 |
| 1407930571 | Richard P. Permutt | Internal Medicine | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-10-25 |
| 1831273804 | Timothy J. Hurley | Internal Medicine | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-10-25 |
| 1972683654 | Santa Rosa Gastroenterology Medical Associates | Internal Medicine | 1210 Sonoma Ave, Suite B, Santa Rosa, CA 95405 | 2006-10-16 |
| 1780615906 | F. Otis Stephen | Internal Medicine | 500 Doyle Park Dr, Suite G04, Santa Rosa, CA 95405-4558 | 2006-07-05 |
| 1831127885 | Thomas G Morales | Internal Medicine | 500 Doyle Park Dr, Suite G04, Santa Rosa, CA 95405-4558 | 2006-06-29 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
Please comment or provide details below to improve the information on DR. JAY MICHAEL GOSPE.
| 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.