CONRADO C GONZALEZ JR. (NPI# 1083687479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083687479 |
| Entity Type | Individual |
| Full Name | CONRADO C GONZALEZ JR. |
| Credential | MD |
| Practice Address |
6105 Health Center Lane Fredericksburg VA 22407 |
| Mailing Address |
Po Box 31872 Richmond VA 23294-1872 |
| Practice Telephone | 5407865262 |
| Practice Fax Number | 5407865299 |
| Mailing Telephone | 8042668717 |
| Mailing Fax Number | 8042665677 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2008-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
0101030838 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 5407494 | 01 | |
| CIGNA | 1243459 | 01 | |
| AETNA | 3367933 | 01 | |
| ANTHEM BCBS | 142595 | 01 | |
| SOUTHERN HEALTH | 226152 | 01 | |
| MAMSI | 396639 | 01 |
| Street Address |
6105 HEALTH CENTER LANE |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831161843 | Radiation Oncology Specialists of Central Virginia Plc | Radiology | 6105 Health Center Lane, Fredericksburg, VA 22407 | 2006-02-03 |
| 1700859196 | Wilson B Sprenkle | Radiology | 6105 Health Center Lane, Fredericksburg, VA 22407 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120596 | Nutrition for You, LLC | 1129 Heatherstone Drive, Fredericksburg, VA 22407 | 2020-10-08 | |
| 1881241016 | Jessica Tran | Optometrist | 395-a Spotsylvania Towne Centre, Fredericksburg, VA 22407 | 2019-08-22 |
| 1376039065 | Virginia Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 6010 Plank Rd, Fredericksburg, VA 22407 | 2018-07-05 |
| 1366935967 | Vip Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 5710 Lucas St, Fredericksburg, VA 22407 | 2018-06-08 |
| 1407348501 | Dina Maria Martinez Lombardy | Counselor | 6506 Forest Grove Dr, Fredericksburg, VA 22407 | 2018-06-04 |
| 1881192342 | Alyssa Testa | Specialist/Technologist | 5219 Mcmanus Dr, Fredericksburg, VA 22407 | 2018-01-30 |
| 1437675725 | Jacqueline D. Turner | Driver | 7112 Sharon Rd, Fredericksburg, VA 22407 | 2017-08-17 |
| 1689199556 | Audrey Daniel | Driver | 10701 Leavells Road, Fredericksburg, VA 22407 | 2017-08-11 |
| 1740722982 | T&d Optometry, LLC | Optometrist | 400 Spotsylvania Towne Centre, (spotsylvania Towne Centre--next To Jcpenney Optical), Fredericksburg, VA 22407 | 2016-11-04 |
| 1639521164 | Fredericksburg Eyecare LLC | Optometrist | 395a Towne Centre Blvd, Fredericksburg, VA 22407 | 2016-07-08 |
| Find all providers in zip 22407 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457526048 | Celine Bicquart Ord | Radiology | 753 S Washington St Bldg D, Fredericksburg, TX 78624 | 2008-04-24 |
| 1235195736 | John C. Chinault | Radiology | 6105 Health Center Ln, Fredericksburg, VA 22407-6687 | 2006-04-24 |
| 1831161843 | Radiation Oncology Specialists of Central Virginia Plc | Radiology | 6105 Health Center Lane, Fredericksburg, VA 22407 | 2006-02-03 |
| 1639151905 | Hill Country Center for Cancer Care | Radiology | 753 S Washington St, Fredericksburg, TX 78624-5239 | 2005-11-14 |
| 1285896936 | Robert Lee Ebeling IIi | Radiology | 753 S Washington St Bldg D, Fredericksburg, TX 78624-5247 | 2008-06-25 |
| 1700859196 | Wilson B Sprenkle | Radiology | 6105 Health Center Lane, Fredericksburg, VA 22407 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255836953 | Raj Singh | Radiology | Vcu Department of Radiation Oncology, 980058, 1250 E. Marshall Street, Richmond, VA 23298-0058 | 2018-03-26 |
| 1982956678 | Maryview Hospital | Radiology | 7185 Harbour Towne Pkwy S Ste 108, Suffolk, VA 23435-3796 | 2012-10-05 |
| 1578838553 | Commonwealth Oncology Group, LLC | Radiology | 6801 Gov. G. C. Peery Hwy., Clinch Valley Medical Center, Richlands, VA 24641-2194 | 2012-03-09 |
| 1699089953 | Suasin Cancer Care, Inc. | Radiology | 6801 Gov.g.c. Peery Hwy, Richlands, VA 24641 | 2010-07-28 |
| 1760712434 | Ramesh Kakria | Radiology | 1533 Lake James Dr, Virginia Beach, VA 23464-6750 | 2010-01-01 |
| 1649436510 | Camille Williams | Radiology | 6137 Lincolnia Rd, Unit 11182, Alexandria, VA 22312-8000 | 2008-07-31 |
| 1013175769 | Kelli A. Reardon | Radiology | 2871 Ivy Rd, Charlottesville, VA 22903-9304 | 2008-05-29 |
| 1225200132 | Timothy J Harris | Radiology | 401 College Street, Richmond, VA 23298-0058 | 2008-03-31 |
| 1487785564 | Tyvin A. Rich | Radiology | Uva Hospital West, Hospital Drive, 3rd Floor, Charlottesville, VA 22908-0001 | 2007-03-08 |
| 1194866434 | Maria D. Kelly | Radiology | 1230 Grove Park Ct, Earlysville, VA 22936-2840 | 2007-02-09 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKSBURG |
| Zip Code | 22407 |
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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.