Kathie A Gonzales (NPI# 1073589214, PAC ID# 3375567936) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1073589214 |
| PAC ID by PECOS | 3375567936 |
| Professional Enrollment ID | I20060123000118 |
| Full Name | Kathie A Gonzales |
| Organization Legal Name | TOTAL VITALITY MEDICAL GROUP, LLC |
| Address |
24945 Us Hwy 19 N Clearwater FL 33763-3927 |
| Phone Number | 7277261460 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6103887195 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100067 | ST ANTHONY'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 24945 Us Hwy 19 N, Clearwater, FL 33763-3927 | 7277261460 | TOTAL VITALITY MEDICAL GROUP, LLC |
| Organization Legal Name | TOTAL VITALITY MEDICAL GROUP, LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian G Wolstein | Chiropractic | Total Vitality Medical Group, LLC | 24945 Us Hwy 19 N, Clearwater, FL 33763-3927 |
| David G Wolstein | General Surgery | Total Vitality Medical Group, LLC | 24945 Us Hwy 19 N, Clearwater, FL 33763-3927 |
| Brian M Anderson | Physical Therapy | Total Vitality Medical Group, LLC | 24945 Us Hwy 19 N, Clearwater, FL 33763-3927 |
| Sean M Woodward | Chiropractic | Total Vitality Medical Group, LLC | 24945 Us Hwy 19 N, Clearwater, FL 33763-3927 |
| Michael B Heldreth | Chiropractic | Total Vitality Medical Group, LLC | 24945 Us Hwy 19 N, Clearwater, FL 33763-3927 |
| Cynthia D Lewis | Chiropractic | Total Vitality Medical Group, LLC | 24945 Us Hwy 19 N, Clearwater, FL 33763-3927 |
| Street Address |
24945 US HWY 19 N |
| City | CLEARWATER |
| State | FL |
| Zip | 33763-3927 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian G Wolstein | Chiropractic | Total Vitality Medical Group, LLC | 24945 Us Hwy 19 N, Clearwater, FL 33763-3927 |
| David G Wolstein | General Surgery | Total Vitality Medical Group, LLC | 24945 Us Hwy 19 N, Clearwater, FL 33763-3927 |
| Brian M Anderson | Physical Therapy | Total Vitality Medical Group, LLC | 24945 Us Hwy 19 N, Clearwater, FL 33763-3927 |
| Sean M Woodward | Chiropractic | Total Vitality Medical Group, LLC | 24945 Us Hwy 19 N, Clearwater, FL 33763-3927 |
| Michael B Heldreth | Chiropractic | Total Vitality Medical Group, LLC | 24945 Us Hwy 19 N, Clearwater, FL 33763-3927 |
| Cynthia D Lewis | Chiropractic | Total Vitality Medical Group, LLC | 24945 Us Hwy 19 N, Clearwater, FL 33763-3927 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Walter J Kay | Family Medicine | 2724 Park Dr, Clearwater, FL 33763-1020 | |
| John Savidakis | Podiatry | 2701 Park Dr, Suite 6, Clearwater, FL 33763-1021 | |
| Nazanin Roboubi | Podiatry | 2701 Park Dr, Suite 6, Clearwater, FL 33763-1021 | |
| Joseph A Laguna | Internal Medicine | 2701 Park Dr, Suite 2, Clearwater, FL 33763-1021 | |
| Vidya Sagar | Nephrology | Vidya Sagar Md Pa | 2725 Park Dr, Suite 5, Clearwater, FL 33763-1023 |
| Linda L. Misa | Clinical Social Worker | 2725 Park Dr, Suite 5, Clearwater, FL 33763-1023 | |
| Lisa A Rose | Nurse Practitioner | Stuart B Strikowsky Do Pa | 2724 Park Dr, Clearwater, FL 33763-1094 |
| Stuart B Strikowsky | Family Practice | Stuart B Strikowsky Do Pa | 2724 Park Dr, Clearwater, FL 33763-1094 |
| Frank V Sessa | Chiropractic | 2555 Enterprise Rd, Suite 5, Clearwater, FL 33763-1104 | |
| Tricia T Shelden | Clinical Social Worker | 2555 Enterprise Rd, Suite 2, Clearwater, FL 33763-1104 | |
| Find all physicians in zip 33763 | |||
| City | CLEARWATER |
| Zip Code | 33763 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CLEARWATER + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.