DR. FERNANDO GONZALEZ (NPI# 1255394821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255394821 |
| Entity Type | Individual |
| Full Name | DR. FERNANDO GONZALEZ |
| Credential | DO |
| Practice Address |
120 E Beauregard Ave San Angelo TX 76903-5919 |
| Mailing Address |
Po Box 22000 San Angelo TX 76902-7200 |
| Practice Telephone | 3256581511 |
| Practice Fax Number | 3254812166 |
| Mailing Telephone | 3256581511 |
| Mailing Fax Number | 3254812166 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2014-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | F4007 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 133182912 | 05 | |
| TX | LICENSE | F4007 | 01 |
| TX | BCBS | 8X3076 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891273900 | Fernando Gonzalez IIi | Social Worker | 1840 Oak Ave Ste 320, Evanston, IL 60201-3680 | 2018-07-31 |
| 1568988848 | Fernando Garcia Gonzalez | Chiropractor | 8101 Airport Blvd Ste A, Houston, TX 77061-4138 | 2017-08-17 |
| 1215100250 | Fernando Luis Gonzalez | Personal Emergency Response Attendant | 167 Calle Mimosa, Santa Maria, San Juan, PR 00927-6215 | 2008-04-10 |
| 1912026972 | Fernando Gonzalez | Pharmacist | 2472 Flatbush Ave, Brooklyn, NY 11234-5045 | 2007-03-28 |
| 1700942018 | Fernando Gonzalez | Pharmacy Technician | Carr 348 Km 5.2, Bo Malesa, Mayaguez, PR 00680 | 2006-12-29 |
| 1043239619 | Fernando Francisco Gonzalez | Pediatrics | 501 Parnassus Ave, San Francisco, CA 94143-2208 | 2006-07-18 |
| 1750324778 | Fernando Gonzalez Jr. | Counselor | 9150 Huebner Rd., #210, San Antonio, TX 78240 | 2006-06-14 |
| 1558352609 | Fernando Luis Gonzalez | Urology | 1000 Health Center Dr Ste 305, Mattoon, IL 61938 | 2005-10-28 |
| 1912223025 | Fernando Gonzalez | Pain Medicine | 111 Maltese Dr, Middletown, NY 10940-2115 | 2010-04-14 |
| 1568680775 | Fernando Gonzalez | Psychiatry & Neurology | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2007-04-23 |
| Street Address |
120 E BEAUREGARD AVE |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76903-5919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921459 | Ernest Charlesworth | Dermatology | 120 E Beauregard Ave, San Angelo, TX 76903-5919 | 2005-06-01 |
| 1093349359 | Michael T Mcenrue | Nurse Practitioner | 120 E Beauregard Ave, San Angelo, TX 76903-5919 | 2020-02-26 |
| 1194298596 | Rachel J Reyes | Nurse Practitioner | 120 E Beauregard Ave, San Angelo, TX 76903-5919 | 2019-01-08 |
| 1649746512 | Jessica Orona | Nurse Practitioner | 120 E Beauregard Ave, San Angelo, TX 76903-5919 | 2018-10-18 |
| 1770960312 | Dawn Empey | Registered Nurse | 120 E Beauregard Ave, San Angelo, TX 76903-5919 | 2015-05-04 |
| 1639573231 | Eduardo Jose Gonzalez | Internal Medicine | 120 E Beauregard Ave, San Angelo, TX 76903-5919 | 2014-10-10 |
| 1043626518 | Emily Michelle Dodd | Anesthesiology | 120 E Beauregard Ave, San Angelo, TX 76903 | 2014-07-06 |
| 1487080479 | Melissa P Hohensee | Nurse Practitioner | 120 E Beauregard Ave, San Angelo, TX 76903-5919 | 2013-09-23 |
| 1003168055 | Maegin M Carlile | Nurse Practitioner | 120 E Beauregard Ave, San Angelo, TX 76903-5919 | 2012-10-15 |
| 1760746325 | Kristi D. Urias | Anesthesiology | 120 E Beauregard Ave, San Angelo, TX 76903-5919 | 2012-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306386081 | The Waterford Wellness Spa | Clinic/Center | 602 S. Abe, San Angelo, TX 76903 | 2017-03-01 |
| 1154782415 | Jerrica Elayne Escobedo | Counselor | 424 South Oakes, San Angelo, TX 76903 | 2016-03-15 |
| 1578923868 | Wal-mart Stores Texas, LLC | Technician/Technologist | 3440 S. Bryant Blvd, San Angelo, TX 76903 | 2016-02-29 |
| 1821475161 | San Angelo Dental, Pllc | Dentist | 614 29th Street, Suite, Sanangelo, TX 76903 | 2015-05-06 |
| 1033549670 | Tina Faye Luck | Nurse Practitioner | 36 E Twohig Ave Ste 1100, San Angelo, TX 76903 | 2013-11-18 |
| 1295087294 | Tara Joiner | Counselor | 27 W Beauregard Ave, San Angelo, TX 76903 | 2012-10-15 |
| 1225380728 | Tanya L Favor | Physician Assistant | 215 E. College, San Angelo, TX 76903 | 2012-10-08 |
| 1336459551 | Education Service Center | Social Worker | 612 S Irene, San Angelo, TX 76903 | 2010-10-21 |
| 1508194176 | Pay and Save Inc | Pharmacy | 1926 N. Bryant Blvd., San Angelo, TX 76903 | 2009-11-19 |
| 1326375734 | Pay and Save Inc | Pharmacy | 2 S. Main St., San Angelo, TX 76903 | 2009-11-05 |
| Find all providers in zip 76903 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932199502 | Robert D Schultz | Pediatrics | 225 E Beauregard Ave, San Angelo, TX 76903-5920 | 2005-10-25 |
| 1942202791 | Bill Franklin Sorrels | Pediatrics | 12 East Twohig, Ste 200, San Angelo, TX 76903-6433 | 2005-08-11 |
| 1073990313 | Sara Elizabeth Halfmann | Pediatrics | 3555 Knickerbocker Rd, San Angelo, TX 76904 | 2015-05-06 |
| 1750659603 | Angelo Behavior Center, LLP | Pediatrics | 12 E Twohig Ave, Suite 201, San Angelo, TX 76903-6433 | 2011-12-07 |
| 1003121245 | Alejandra C Ayestaran Cassani | Pediatrics | 2141 Hamilton Way, Ste 100, San Angelo, TX 76904-6831 | 2010-08-12 |
| 1528372315 | Emir Campanini | Pediatrics | 2141 Hamilton Way, Ste 100, San Angelo, TX 76904-6831 | 2010-08-04 |
| 1508184771 | Stacey L Manion | Pediatrics | 225 E Beauregard Ave, San Angelo, TX 76903-5920 | 2010-05-12 |
| 1518283084 | Allison J Walker | Pediatrics | 225 E Beauregard Ave, San Angelo, TX 76903-5920 | 2010-04-08 |
| 1912234345 | Caryn Denise Krenek | Pediatrics | 2033 W Beauregard Ave, San Angelo, TX 76901-3883 | 2009-11-05 |
| 1629246731 | Srikanth Podaralla | Pediatrics | 225 E Beauregard Ave, San Angelo, TX 76903-5920 | 2008-02-12 |
| Find all providers in SAN ANGELO | ||||
| City | SAN ANGELO |
| Zip Code | 76903 |
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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.