JOSE MAURICIO GONZALES (NPI# 1144221615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144221615 |
| Entity Type | Individual |
| Full Name | JOSE MAURICIO GONZALES |
| Credential | MD |
| Practice Address |
2509 Maplewood Dr. Sulphur LA 70663 |
| Mailing Address |
2509 Maplewood Dr Sulphur LA 70663 |
| Practice Telephone | 3376250341 |
| Practice Fax Number | 3376250347 |
| Mailing Telephone | 3376250341 |
| Mailing Fax Number | 3376250347 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 22265 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1682969 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235607011 | Jose Luis Gonzales | Orthotist | 12075 Corporate Pkwy Ste 120, Mequon, WI 53092-2664 | 2018-11-09 |
| 1881774628 | Jose Rivas Gonzales | Dentist | 3060 N Litchfield Road, Suite 110, Goodyear, AZ 85338 | 2006-10-16 |
| 1437762572 | Jose Ruben Gonzales | Nurse Practitioner | 6300 Ocean Dr, Corpus Christi, TX 78412-5503 | 2020-08-28 |
| 1174053565 | Jose Guadalupe Gonzales | Dentist | 1030 Norwood Park Blvd Ste 324, Austin, TX 78753-6609 | 2017-06-18 |
| 1164842639 | Jose Antonio Gonzales | Pediatrics | 4900 Mueller Blvd Ste 3s.066c, Austin, TX 78723-3079 | 2014-04-23 |
| 1386939049 | Jose Antonio Gonzales | Counselor | 615 W Main St, Suite 316, Arlington, TX 76010-1056 | 2011-06-10 |
| 1659697860 | Jose Rey Gonzales | Physical Therapist | 1319 N Madison St, Stockton, CA 95202-1047 | 2010-04-13 |
| 1063648152 | Jose Luis Gonzales Jr. | Chiropractor | 6025 Royal Ln, Suite 120, Dallas, TX 75230-3892 | 2009-06-03 |
| 1245342351 | Jose H. Gonzales | Urology | 4700 Las Vegas Blvd N, Ward 3c, Las Vegas, NV 89191-6600 | 2006-08-31 |
| Street Address |
2509 MAPLEWOOD DR. |
| City | SULPHUR |
| State | LA |
| Zip Code | 70663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457822751 | Imperial Calcasieu Human Services Authority | Clinic/Center | 2651 E Napoleon St, Sulphur, LA 70663 | 2018-12-12 |
| 1083134670 | Leah Lowe | Nurse Practitioner | 1019 Mathew St., Sulphur, LA 70663 | 2017-06-23 |
| 1972037166 | Collins Orthopaedics LLC | Orthopaedic Surgery | 250 S Beglis Parkway, Ste 3, Sulphur, LA 70663 | 2017-04-14 |
| 1699219238 | Charles Miah Smith | Family Medicine | 231 W Houston River Rd., Sulphur, LA 70663 | 2016-12-16 |
| 1598213357 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 1000 Beglis Pkwy, Sulphur, LA 70663 | 2016-09-21 |
| 1992129019 | Healthscripts of America-southwest Louisiana,llc | Pharmacy | 1575 Maplewood Drive, Suite A, Sulphur, LA 70663 | 2014-02-10 |
| 1679900476 | Evergreen Presbyterian Ministries, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2108 Division Street, Sulphur, LA 70663 | 2013-10-11 |
| 1295065241 | Journey Behavioral Health, LLC | Psychologist | 423 Cypress St., Sulphur, LA 70663 | 2010-01-13 |
| 1558513754 | C H Wilkinson Physician Network | Nurse Practitioner | 525 North City Service Hwy, Sulphur, LA 70663 | 2008-10-21 |
| 1689853343 | Stelly Physical &occupational Therapy | Occupational Therapist | 946 Beglis Parkway, Sulphur, LA 70663 | 2007-10-30 |
| Find all providers in zip 70663 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699219238 | Charles Miah Smith | Family Medicine | 231 W Houston River Rd., Sulphur, LA 70663 | 2016-12-16 |
| 1023101110 | Sulphur Clinic Inc. | Family Medicine | 921 W 11th St, Sulphur, OK 73086-4459 | 2006-10-02 |
| 1194838078 | Tammy Mitchell | Family Medicine | 301 S Cities Service Hwy, Sulphur, LA 70663-6405 | 2006-08-16 |
| 1699790089 | Dang Nguyen | Family Medicine | 3702 Maplewood Dr, Sulphur, LA 70663-6302 | 2006-07-13 |
| 1124068366 | Randal A Williams | Family Medicine | 220 W Vinita Ave, Sulphur, OK 73086-3805 | 2006-06-07 |
| 1174514533 | Sulphur Urgent Care, LLC | Family Medicine | 3924 Maplewood Dr, Sulphur, LA 70663-6352 | 2005-11-03 |
| 1336133677 | Kevin Thomas Schlamp | Family Medicine | 921 1st Ave, Sulphur, LA 70663-3424 | 2005-09-01 |
| 1942202536 | Allen C Richert | Family Medicine | 920 1st Ave, Sulphur, LA 70663-3425 | 2005-08-12 |
| 1255331518 | Brian Wayne Stewart | Family Medicine | 2509 Maplewood Dr, Sulphur, LA 70663-6105 | 2005-07-28 |
| 1881699015 | Ken Thomas | Family Medicine | 622 Cypress St, Sulphur, LA 70663-5052 | 2005-06-15 |
| Find all providers in SULPHUR | ||||
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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.