Jose Manuel Gonzalez (NPI# 1265818975, PAC ID# 3476805979) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
Nation Provider ID (NPI) | 1265818975 |
PAC ID by PECOS | 3476805979 |
Professional Enrollment ID | I20181011000534 |
Full Name | Jose Manuel Gonzalez |
Organization Legal Name | VILLAGE PODIATRY GROUP, LLC. |
Address |
1610 Mulkey Rd Austell GA 30106-1182 |
Phone Number | 7707455101 |
Gender | M |
Graduation Year | 2014 |
Primary Specialty | PODIATRY |
Group Practice PAC ID | 4587646971 |
Number of Group Practice Members | 41 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110143 | WELLSTAR COBB HOSPITAL |
110161 | NORTHSIDE HOSPITAL |
Address | Phone | Organization |
---|---|---|
1610 Mulkey Rd, Austell, GA 30106-1182 | 7707455101 | VILLAGE PODIATRY GROUP, LLC. |
Organization Legal Name | VILLAGE PODIATRY GROUP, LLC. |
Physicians | 43 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sahar Mahzoon | Podiatry | Village Podiatry Group, LLC. | 625 Cook St, Royston, GA 30662-3932 |
Ryan Hudson Fitzgerald | Podiatry | Village Podiatry Group, LLC. | 132 Riverstone Ter, Suite 101, Canton, GA 30114-1703 |
Jason E Morris | Podiatry | Village Podiatry Group, LLC. | 1711 Mount Vernon Rd, Dunwoody, GA 30338-4242 |
Christopher Russel Corwin | Podiatry | Village Podiatry Group, LLC. | 550 Peachtree Nest, Suite 1960, Atlanta, GA 30308-2225 |
Sadia Ali | Podiatry | Village Podiatry Group, LLC. | 100 Greystone Power Blvd, Dallas, GA 30157-0908 |
Andrew D Warner | Podiatry | Village Podiatry Group, LLC. | 3506 Old Milton Pkwy, Alpharetta, GA 30005-4458 |
Steven A Weiskopf | Podiatry | Village Podiatry Group, LLC. | 1198 Buckhead Xing, D, Woodstock, GA 30189-4293 |
Patricia W Morris | Podiatry | Village Podiatry Group, LLC. | 3949 Holcomb Bridge Rd, Suite 100, Norcross, GA 30092-2208 |
Margo A Jimenez | Podiatry | Village Podiatry Group, LLC. | 2295 Parklake Nedr, Suite 150, Atlanta, GA 30345-2825 |
Allen T Raphael | Podiatry | Village Podiatry Group, LLC. | 3200 Highlands Pkwy Se, Suite 100, Smyrna, GA 30082-5192 |
Street Address |
1610 MULKEY RD |
City | AUSTELL |
State | GA |
Zip | 30106-1182 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kristian Stodghill | Hospice/palliative Care | Wellstar Medical Group, LLC | 4040 Hospital W Dr, Austell, GA 30106 |
Warren Todd Oberle | Urology | Georgia Urology, Pa | 1700 Hospital Dr, Suite 201, Austell, GA 30106 |
Bennie Dean Mobley | Optometry | 3999 Austell Rd, Austell, GA 30106-1100 | |
James V Waldron | Physician Assistant | Piedmont Providers LLC | 3820 Medical Park Dr, Austell, GA 30106-1110 |
Karen J Moore | Certified Registered Nurse Anesthetist (crna) | Mulkey Anesthesiology Associates, PC | 3870 Medical Park Dr, Austell, GA 30106-1110 |
Ashley W Crocker | Certified Registered Nurse Anesthetist (crna) | Mulkey Anesthesiology Associates, PC | 3870 Medical Park Dr, Suite 100, Austell, GA 30106-1110 |
Omar Hajmurad | Anesthesiology | Interventional Spine and Pain Management Center, PC | 3870 Medical Park Dr, Austell, GA 30106-1110 |
Megan Rutherford | Physician Assistant | Piedmont Providers LLC | 3820 Medical Park Dr, Austell, GA 30106-1110 |
Tayler Alyse Walker | Certified Registered Nurse Anesthetist (crna) | Mulkey Anesthesiology Associates, PC | 3870 Medical Park Dr, Austell, GA 30106-1110 |
Melanie D Marshall | Certified Registered Nurse Anesthetist (crna) | Mulkey Anesthesiology Associates, PC | 3870 Medical Park Dr, Austell, GA 30106-1110 |
Find all physicians in zip 30106 |
City | AUSTELL |
Zip Code | 30106 |
Specialty | PODIATRY |
City + Specialty | AUSTELL + PODIATRY |
Please comment or provide details below to improve the information on Jose Manuel Gonzalez.
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.