ROBERTO GONZALEZ (NPI# 1780607028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780607028 |
Entity Type | Individual |
Full Name | ROBERTO GONZALEZ |
Credential | M.D. |
Practice Address |
1414 9th Ave Station Medical Center Altoona PA 16602-2415 |
Practice Telephone | 8149461655 |
Practice Fax Number | 8149497616 |
Mailing Telephone | 8149461655 |
Mailing Fax Number | 8149497616 |
Enumeration Date | 2006-07-26 |
Last Update Date | 2012-04-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208200000X | Plastic Surgery | MD428424 | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 1016685350002 | 05 | |
PA | GATEWAY HEALTH PLAN | 1556942 | 01 |
PA | HIGHMARK BC BS | 368970 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912547928 | Roberto Manuel Gonzalez | Specialist | 250 W 108th St, New York, NY 10025-2956 | 2020-01-08 |
1891159349 | Roberto Gonzalez | Internal Medicine | 2311 N Mesa St Ste J, El Paso, TX 79902-3575 | 2016-04-11 |
1942607304 | Roberto Gonzalez | Counselor | 2919 Mission Street, San Francisco, CA 94110-3225 | 2014-12-01 |
1245530807 | Roberto C Gonzalez | Massage Therapist | 8511 N Hamner Ave, Tampa, FL 33604-1229 | 2010-10-29 |
1316197668 | Roberto Raul Gonzalez | Family Medicine | 3850 W. Flagler St., Miami, FL 33134-1604 | 2008-09-23 |
1932257201 | Roberto A Gonzalez | Non-emergency Medical Transport (VAN) | 274 E Rowland St, Suite G, Covina, CA 91723-3185 | 2007-01-05 |
1588690424 | Roberto H Gonzalez Sr. | Specialist | 127b Calle Colon, Aguada, PR 00602-3166 | 2006-06-23 |
1679532667 | Roberto Gonzalez | Dietitian, Registered | 8198 Walnut Hill Ln, Jackson Ll, Diabetes Education Center, Dallas, TX 75231-4316 | 2006-03-20 |
1780662288 | Roberto Gonzalez | Family Medicine | 816 S 12th St, Mcallen, TX 78501-5009 | 2006-01-04 |
1790760957 | Roberto Angel Gonzalez | Chiropractor | 11239 Ventura Blvd, Suite 213, Studio City, CA 91604-3163 | 2005-12-09 |
Street Address |
1414 9TH AVE STATION MEDICAL CENTER |
City | ALTOONA |
State | PA |
Zip Code | 16602-2415 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689650848 | Tracy A Lillie | Family Medicine | 1414 9th Ave, Station Medical Center, Altoona, PA 16602-2454 | 2005-12-20 |
1538785688 | Tara Anne Benko | Nurse Practitioner | 1414 9th Ave, Altoona, PA 16602-2415 | 2020-06-24 |
1295378438 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 1414 9th Ave, Altoona, PA 16602-2415 | 2019-10-21 |
1174003867 | Rachel Alexa Mcclain | Physician Assistant | 1414 9th Ave, Altoona, PA 16602-2415 | 2018-08-21 |
1285170928 | Laura Christine Grassmyer | Physician Assistant | 1414 9th Ave, Altoona, PA 16602-2415 | 2017-01-18 |
1649713389 | Upmc Altoona Regional Health | Non-Pharmacy Dispensing Site | 1414 9th Ave, Alto Tower Suite, Altoona, PA 16602-2415 | 2016-11-29 |
1306397153 | Laura Jeffries | Physician Assistant | 1414 9th Ave, Altoona, PA 16602-2415 | 2016-10-17 |
1851792303 | Gabrielle Dunchuck | Physician Assistant | 1414 9th Ave, Altoona, PA 16602-2415 | 2014-09-15 |
1457779910 | Kayla Esch | Physician Assistant | 1414 9th Ave, Blair Medical Associates, Altoona, PA 16602-2415 | 2014-04-02 |
1356771406 | Brianne J Baker | Nurse Practitioner | 1414 9th Ave, Altoona, PA 16602-2415 | 2013-11-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043817646 | John Francis Cain | Registered Nurse | 319 Meadowlark Ave, Altoona, PA 16602 | 2020-10-06 |
1023650991 | Rahaf Obeid | Pharmacist | 508 E Plank Road, Altoona, PA 16602 | 2019-10-12 |
1346713641 | Justin M Delasko | Dietitian, Registered | 905 Logan Blvd, Altoona, PA 16602 | 2019-01-09 |
1679932420 | Dottie Jean Morgan | Speech-Language Pathologist | 501 Valley View Blvd., Altoona, PA 16602 | 2016-02-22 |
1922409283 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 1600 9th Avenue, Altoona, PA 16602 | 2014-09-05 |
1972918878 | Grane Hospice Care, Inc. | Hospice Care, Community Based | 115 Union Ave Ste 100, Altoona, PA 16602 | 2014-06-30 |
1033524921 | Grane Hospice Care, Inc. | Home Health | 115 Union Ave Ste 300, Altoona, PA 16602 | 2014-06-30 |
1306184858 | Lighthouse Medical, LLC | Physical Medicine & Rehabilitation | 301 E. Pleasant Valley Blvd, Altoona, PA 16602 | 2013-01-17 |
1497042576 | Michala Seidel | Counselor | 3010 7th Avenue, Alternative Community Resource Program, Altoona, PA 16602 | 2011-07-08 |
1205121647 | Rebekah Brown | Preventive Medicine | 301 E Pleasant Valley Blvd., Altoona, PA 16602 | 2011-06-14 |
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Taxonomy Code | 208200000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Plastic Surgery |
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265691034 | Jill Marie Murphy | Plastic Surgery | 1414 9th Ave, Altoona, PA 16602-2415 | 2008-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588298418 | Grunwaldt Falbo Pllc | Plastic Surgery | 873 Bebout Rd, Venetia, PA 15367-1215 | 2020-03-01 |
1528606654 | Everest Medspa LLC | Plastic Surgery | 6787 Market St Ste 106, Upper Darby, PA 19082-1848 | 2019-12-19 |
1851939771 | Ericka Culp | Plastic Surgery | 5750 Centre Ave Ste 360, Pittsburgh, PA 15206-3761 | 2019-12-11 |
1346742871 | Andrea Kristin Chamberlain | Plastic Surgery | 1614 Washington Rd, Pittsburgh, PA 15241-1210 | 2018-02-28 |
1205348141 | Kp Aesthetics, LLC. | Plastic Surgery | 4675 W Chester Pike, Newtown Square, PA 19073-2227 | 2017-11-01 |
1346765229 | Denise M. Kenna, M.d. | Plastic Surgery | 2350 Freedom Way Ste 107, York, PA 17402-8200 | 2017-08-11 |
1467973305 | Hr Physician Services | Plastic Surgery | 3300 Tillman Dr Ste 201, Bensalem, PA 19020-2071 | 2017-06-30 |
1598293979 | Andrea Rae Hiller | Plastic Surgery | 500 University Dr # Mch071, Hershey, PA 17033 | 2017-05-30 |
1295116473 | Shagun Aggarwal | Plastic Surgery | 3400 Civic Center Blvd Fl 7, Division of Plastic Surgery, University of Pennsylvania, Philadelphia, PA 19104-5163 | 2015-06-14 |
1598152852 | Brenton Robinson | Plastic Surgery | 3550 Terrace Street Scaife Hall Suite 668, Pittsburgh, PA 15261-5640 | 2015-04-23 |
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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.