ELIE R GONZALES MD (NPI# 1841309945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841309945 |
| Entity Type | Organization |
| Organization Name | ELIE R GONZALES MD |
| Practice Address |
38 Erie St Oswego NY 13126-3803 |
| Mailing Address |
Po Box 340 New Hartford NY 13413-0340 |
| Practice Telephone | 3153424217 |
| Practice Fax Number | 3153427205 |
| Mailing Telephone | 3157329368 |
| Mailing Fax Number | 3157329403 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ELIE R GONZALES (OWNER) |
| Authorized Official Telephone | 3153424217 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
38 ERIE ST |
| City | OSWEGO |
| State | NY |
| Zip Code | 13126-3803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669619854 | Oswego Surgical Associates, LLC | Surgery | 38 Erie St, Oswego, NY 13126-3803 | 2009-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
| 1023651742 | Jessica Lynn Metzger | Physician Assistant | 300 Ny-104 Suite 1, Oswego, NY 13126 | 2019-10-25 |
| 1245887009 | Maureen Adams | Technician | 30 Stone Ridge Drive, Oswego, NY 13126 | 2019-08-26 |
| 1285128314 | Justin Raymond Beebe | Nurse Practitioner | 300 State Route 104 Ste 2, Oswego, NY 13126 | 2018-06-21 |
| 1801311220 | Lynne M Wallace | Registered Nurse | 29 Birch Lane 17b, Oswego, NY 13126 | 2017-08-07 |
| 1497203962 | Lindsay Cheslock | Local Education Agency (LEA) | 529 County Route 25, Oswego, NY 13126 | 2016-09-14 |
| 1942757919 | Aimee Devinny | Registered Nurse | 21 Twin Orchard Drive, Oswego, NY 13126 | 2016-09-07 |
| 1083160295 | Cameron Delmotte | Specialist | 159 West Frist Street, Oswego, NY 13126 | 2016-08-28 |
| 1508319187 | Samantha Thayer | Occupational Therapist | 159 West First Oswego St, Oswego, NY 13126 | 2016-07-29 |
| 1104279595 | Vikram Jala | Internal Medicine | 105 County Route 45a Ste 400, Oswego, NY 13126 | 2016-07-20 |
| Find all providers in zip 13126 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548526098 | Young H Kim Md Faap | Pediatrics | 50 W Utica St, Oswego, NY 13126-3053 | 2012-04-10 |
| 1821238346 | Kwakbear P.C. | Pediatrics | 5011 Carpenter Ave, Oswego, IL 60543-8027 | 2009-02-23 |
| 1457445512 | Young Hee Kim | Pediatrics | 50 West Utica St, Oswego, NY 13126 | 2006-10-03 |
| 1396792404 | Shashikant G Bhopale | Pediatrics | 33 E 1st St, Oswego, NY 13126-1112 | 2006-05-27 |
| 1861445033 | Paul D Granoff | Pediatrics | 4789 Route 71, Oswego, IL 60543-7415 | 2006-05-18 |
| 1205893419 | James Lee Webb | Pediatrics | 4509 Route 71, Oswego, IL 60543-7416 | 2006-05-01 |
| 1184086381 | Nicole Phelps | Pediatrics | 80 Templeton Dr, Oswego, IL 60543 | 2016-03-26 |
| 1316214240 | Nicole Christine Keller | Pediatrics | 4789 Route 71, Oswego, IL 60543-7415 | 2011-11-21 |
| 1245402932 | Karen J. Chorvat | Pediatrics | 80 Templeton Dr, Oswego, IL 60543-7000 | 2008-04-02 |
| 1427234426 | Parul Bhatt | Pediatrics | 4789 Route 71, Oswego, IL 60543 | 2008-01-21 |
| Find all providers in OSWEGO | ||||
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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.