DR. DAVID MANUEL GONZALEZ (NPI# 1043208218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043208218 |
| Entity Type | Individual |
| Full Name | DR. DAVID MANUEL GONZALEZ |
| Credential | MD |
| Practice Address |
777 Hospital Way, Building A Ste 101 Pocatello ID 83201-2753 |
| Mailing Address |
Po Box 4516 Pocatello ID 83205-4516 |
| Practice Telephone | 2082342001 |
| Practice Fax Number | 2082322195 |
| Mailing Telephone | 2082342001 |
| Mailing Fax Number | 2082322195 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2008-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
M-9795 | ID | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
26748 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 807643600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986487 | David R Gonzalez | Physical Therapy Assistant | 1000 W Pembroke Rd Ste 316, Hallandale Beach, FL 33009-2181 | 2020-09-09 |
| 1629698311 | David Enrique Gonzalez | Student in an Organized Health Care Education/Training Program | 1201 Nw 16th St Rm A2nd, Miami, FL 33125-1624 | 2020-04-22 |
| 1619433729 | David Gonzalez | Home Health Aide | 185 N Redwood Dr Ste 120, San Rafael, CA 94903-1965 | 2019-02-13 |
| 1861881583 | David M Gonzalez | Speech-Language Pathologist | 991 Main St Ste 102, Holbrook, NY 11741-1608 | 2015-01-19 |
| 1831499482 | David Gonzalez | Contractor | 1122 N Crown St, Anaheim, CA 92801-2025 | 2010-10-29 |
| 1588998785 | David N. Gonzalez | Rehabilitation Practitioner | 214 E Imperial Hwy, Los Angeles, CA 90061-2544 | 2009-09-22 |
| 1760647309 | David Gonzalez | Counselor | 2614 Tropical Ave, Bakersfield, CA 93313-2205 | 2008-07-23 |
| 1003090804 | David V. Gonzalez | Technician, Pathology | 3110 Hillcrest Dr, Apt # 607, San Antonio, TX 78201-7055 | 2007-12-28 |
| 1346315348 | David Gonzalez | Internal Medicine | 5037 Lake Worth Rd, Greenacres, FL 33463-3348 | 2006-11-22 |
| 1326080219 | David M Gonzalez | Orthopaedic Surgery | 8299 Fredericksburg Rd, San Antonio, TX 78229-3359 | 2006-06-12 |
| Street Address |
777 HOSPITAL WAY, BUILDING A STE 101 |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-2753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1346236213 | Benjamin Flandro Call | Internal Medicine | 777 Hospital Way Bldg A, Ste. 101, Pocatello, ID 83201-2753 | 2005-09-26 |
| 1083759880 | Jacob Delarosa | Internal Medicine | 651 Memorial Dr, Pocatello, ID 83201-4071 | 2007-02-20 |
| 1538276563 | Alfred I Narraway | Internal Medicine | 777 Hospital Way Bldg A, Ste 101, Pocatello, ID 83201-2753 | 2006-08-24 |
| 1992713432 | Pocatello Health Services, LLC | Internal Medicine | 777 Hospital Way Bldg A, Ste. 101, Pocatello, ID 83201-2753 | 2006-08-03 |
| 1770579658 | Fernando Grigera | Internal Medicine | 777 Hospital Way Bldg A, Ste. 101, Pocatello, ID 83201-2753 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1801336276 | Bmh, Inc. | Internal Medicine | 235 Poplar St, Blackfoot, ID 83221 | 2017-03-03 |
| 1811201312 | Providence Health & Services | Internal Medicine | 715 S Washington, Suite A, Moscow, ID 83843-0000 | 2010-07-27 |
| 1730323080 | Wayne Wright | Internal Medicine | 2664 E 3700 N, Twin Falls, ID 83301-0145 | 2009-04-29 |
| 1184824617 | Michael D Kenner, Md,pc | Internal Medicine | 1721 S 10th Ave, Caldwell, ID 83605-4839 | 2007-07-23 |
| 1497807812 | Grande Ronde Hospital, Inc | Internal Medicine | 300 E Jefferson St Ste 101, Boise, ID 83712-6221 | 2007-01-17 |
| 1700983137 | Lee Walter Gould | Internal Medicine | 307 St. John's Way, Suite 114, Lewiston, ID 83501-2456 | 2006-09-20 |
| 1730285719 | Beth R Malasky | Internal Medicine | 6140 Curtisian, Ste 200, Boise, ID 83704-0107 | 2006-09-16 |
| 1730192329 | Cardiovascular Consultants of Idaho | Internal Medicine | 1070 N Curtis Rd, Ste 125, Boise, ID 83706-1238 | 2006-08-14 |
| 1477578300 | John E Lassetter | Internal Medicine | 2001 S Woodruff Ave Ste 3, Idaho Falls, ID 83404 | 2006-07-13 |
| Find all providers with the same taxonomy | ||||
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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.