MR. FIDEL GONZALEZ (NPI# 1164974705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164974705 |
| Entity Type | Individual |
| Full Name | MR. FIDEL GONZALEZ |
| Credential | MS, RN, ACNPC-AG |
| Practice Address |
755 N 11th St Suite P-3950 Beaumont TX 77702-1500 |
| Mailing Address |
755 N 11th St Ste P3950 Beaumont TX 77702-1527 |
| Practice Telephone | 4098920099 |
| Practice Fax Number | 4098921911 |
| Mailing Telephone | 4098920099 |
| Mailing Fax Number | 4098921911 |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2017-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP132432 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114021698 | Fidel Gonzalez | Physician Assistant | 1201 Nw 16th St, Miami, FL 33125-1624 | 2006-09-12 |
| Street Address |
755 N 11TH ST SUITE P-3950 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77702-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293909 | Alfred B. Brady Jr. | Internal Medicine | 755 N 11th St, Ste P2200, Beaumont, TX 77702-1500 | 2005-05-23 |
| 1285171256 | Lance T. Mendoza | Nurse Anesthetist, Certified Registered | 755 N 11th St, Suite P3600, Beaumont, TX 77702-1500 | 2017-01-27 |
| 1235676487 | Brittany Syphrett | Nurse Practitioner | 755 N 11th St, Suite P-5200, Beaumont, TX 77702-1500 | 2017-01-26 |
| 1417409285 | Beaumont Asc, Lp | Clinic/Center | 755 N 11th St, Suite P3970b, Beaumont, TX 77702-1500 | 2016-10-27 |
| 1568816098 | Stephanie Angela Williams | Nurse Practitioner | 755 N 11th St, Suite P5200, Beaumont, TX 77702-1500 | 2016-04-21 |
| 1578931598 | Florencia Espinal | Nurse Anesthetist, Certified Registered | 755 N 11th St, Suite P3600, Beaumont, TX 77702-1500 | 2015-09-08 |
| 1467837088 | Joseph Brottem, Crna | Nurse Anesthetist, Certified Registered | 755 N 11th St, Suite P3600, Beaumont, TX 77702-1500 | 2015-07-24 |
| 1356731129 | John E Hoffpauir | Nurse Anesthetist, Certified Registered | 755 N 11th St, Suite P3600, Beaumont, TX 77702-1500 | 2015-01-30 |
| 1689076549 | Lauren Jordan Barrera | Nurse Practitioner | 755 N 11th St, Suite P5200, Beaumont, TX 77702-1500 | 2014-09-23 |
| 1629480223 | Eric Leblanc | Nurse Anesthetist, Certified Registered | 755 N 11th St, Suite P3600, Beaumont, TX 77702-1500 | 2014-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346871134 | Anne Parker Chen | Psychologist | 2431 Liberty St., Beaumont, TX 77702 | 2020-01-30 |
| 1841715299 | Encounter Home Care, Inc. | Home Health | 990 I H 10 North, 225, Beaumont, TX 77702 | 2017-08-07 |
| 1962860023 | Jennifer Abney Bell | Nurse Practitioner | 3030 North St., Suite 510, Beaumont, TX 77702 | 2016-02-04 |
| 1720407687 | Jennifer Huff | Nurse Practitioner | 2980 Calder Ave, Beaumont, TX 77702 | 2014-04-08 |
| 1669894580 | Julie Christine Makdsi | Psychologist | 80 Interstate 10 N., Suite 205, Beaumont, TX 77702 | 2014-01-11 |
| 1437586682 | Lori Wenner | Registered Nurse | 2410 Harrison Street, Beaumont, TX 77702 | 2013-10-02 |
| 1548503311 | Robert J Grammatico | Emergency Medicine | 2830 Calder Ave., Beaumont, TX 77702 | 2013-03-30 |
| 1396084992 | Courtney Marie Guidry | Physician Assistant | 755 N 11th St Ste P5200, Beaumont, TX 77702 | 2013-02-04 |
| 1043524788 | Swarnalatha Devi Bathina | Dentist | 490 Ih-10, Suite 200, Beaumont, TX 77702 | 2010-08-05 |
| 1376798884 | Rehana Haq Javed | Pathology | Christus Hospital 2830 Calder St., Beaumont, TX 77702 | 2008-11-25 |
| Find all providers in zip 77702 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700313210 | Ashley Gordon Humphreys | Nurse Practitioner | 3070 College St Ste 202, Beaumont, TX 77701-4688 | 2017-05-15 |
| 1326145053 | Sebrina Ann Alivernini | Nurse Practitioner | 3406 College St 100, Beaumont, TX 77701-4612 | 2006-09-17 |
| 1942843339 | Shari Kay Miles | Nurse Practitioner | 3406 College St, Beaumont, TX 77701-4612 | 2019-10-18 |
| 1285106625 | Heather Coody Landers | Nurse Practitioner | 3080 College St, Beaumont, TX 77701-4606 | 2018-12-26 |
| 1891275087 | Stacy Wilhelm | Nurse Practitioner | 3080 College St, Beaumont, TX 77701-4686 | 2018-08-16 |
| 1477971489 | Leah Renee Moreau | Nurse Practitioner | 6025 Metropolitan Dr, Suite 210, Beaumont, TX 77706-2407 | 2014-04-07 |
| 1699032045 | Cesily Caldwell Cormier | Nurse Practitioner | 740 Hospital Dr, Suite 210, Beaumont, TX 77701-4664 | 2012-04-23 |
| 1831479260 | Warren Anthony Scoggins | Nurse Practitioner | 755 N 11th St, Suite P3200, Beaumont, TX 77702-1500 | 2011-08-16 |
| 1407943145 | Rhonda A Oszczakiewicz | Nurse Practitioner | 2955 Harrison, Ste 204, Beaumont, TX 77702 | 2006-10-06 |
| 1093733016 | James Wade Howe | Nurse Practitioner | 2830 Calder St, Beaumont, TX 77702-1809 | 2006-07-17 |
| Find all providers in BEAUMONT | ||||
Please comment or provide details below to improve the information on MR. FIDEL GONZALEZ.
| 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.