JOSE LUIS GONZALES (NPI# 1235607011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235607011 |
| Entity Type | Individual |
| Full Name | JOSE LUIS GONZALES |
| Credential | CO,BOCO |
| Practice Address |
12075 Corporate Pkwy Ste 120 Mequon WI 53092-2664 |
| Mailing Address |
20225 Sutter Creek Dr Apt 208 Brookfield WI 53045-3931 |
| Practice Telephone | 2626434418 |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2018-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881774628 | Jose Rivas Gonzales | Dentist | 3060 N Litchfield Road, Suite 110, Goodyear, AZ 85338 | 2006-10-16 |
| 1144221615 | Jose Mauricio Gonzales | Family Medicine | 2509 Maplewood Dr., Sulphur, LA 70663 | 2005-08-09 |
| 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 |
12075 CORPORATE PKWY STE 120 |
| City | MEQUON |
| State | WI |
| Zip Code | 53092-2664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942790761 | Kathryn Mueller | Specialist/Technologist | 117 Linden Lane, Apt 7, Thiensville, WI 53092 | 2018-05-17 |
| 1427547082 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 10996 N Port Washington Rd, Mequon, WI 53092 | 2018-05-08 |
| 1912437252 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | 11430 Port Washington Road, Mequon, WI 53092 | 2017-06-19 |
| 1629437256 | Sean S Tsang | Acupuncturist | 909 W. Mequon Rd., Mequon, WI 53092 | 2016-02-10 |
| 1497128433 | Nancy Snoots | Counselor | 4430 W Tarrytown Ln, Mequon, WI 53092 | 2015-11-12 |
| 1609265214 | Evan Guettel | Physical Therapist | 11363 N. Port Washington Road, Mequon, WI 53092 | 2015-01-20 |
| 1881091148 | Sarah Krueger | Counselor | 216 N Green Bay Rd Suite 108, Thiensville, WI 53092 | 2014-12-01 |
| 1245667088 | Lora Transportation, LLC | Non-emergency Medical Transport (VAN) | 1228 West Baldwin Crt., Mequon, WI 53092 | 2013-10-10 |
| 1710314000 | Roxxi M Davis | Social Worker | 7113 Tamarack Ct, Mequon, WI 53092 | 2013-10-01 |
| 1225473713 | Forefront Dermatology, S.c. | Dermatology | 10303 N Port Washington Rd Ste 101, Mequon, WI 53092 | 2013-05-09 |
| Find all providers in zip 53092 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699140814 | Thaddeus Holgado | Orthotist | 12075 Corporate Pkwy, Suite 120, Mequon, WI 53092-2665 | 2015-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952949414 | Nps Foot Health, LLC | Orthotist | 1334 Applegate Rd Ste 200, Madison, WI 53713-3184 | 2019-12-16 |
| 1871061069 | Kathleen Elizabeth White | Orthotist | 6790 W. Layton Ave, Greenfield, WI 53220 | 2018-11-06 |
| 1871024810 | Curt Bertram | Orthotist | W292n6880 Dorn Rd, Hartland, WI 53029-9245 | 2017-03-22 |
| 1306387337 | John Mooney | Orthotist | 2555 W Kenboern Dr, Glendale, WI 53209-1835 | 2017-03-09 |
| 1124459664 | Charles Hall | Orthotist | 2578 N Martin Luther King Dr, Milwaukee, WI 53212-2710 | 2013-12-10 |
| 1952498990 | Ross L Bosetti | Orthotist | 2926 Post Rd, Stevens Point, WI 54481-6417 | 2006-10-10 |
| 1407944069 | Morfey's Limbs & Braces Inc | Orthotist | 11109 W. Bluemound Road, Wauwatosa, WI 53226 | 2006-10-10 |
| 1114019817 | Thomas Joseph Flatley Jr. | Orthotist | 10506 W Bluemound Rd, Milwaukee, WI 53226-4332 | 2006-09-29 |
| 1316968951 | Lisa D Rubrich | Orthotist | 4261 Lien Rd, Suite O, Madison, WI 53704-3689 | 2006-07-21 |
| 1083610604 | Brian Scott Kelsey | Orthotist | 6790 West Layton Avenue, Greenfield, WI 53220-4571 | 2005-06-28 |
| 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.