RAUL ALBERTO GONZALEZ (NPI# 1366503773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366503773 |
| Entity Type | Individual |
| Full Name | RAUL ALBERTO GONZALEZ |
| Credential | MD |
| Practice Address |
1825 Martha Berry Blvd Nw Rome GA 30165-1625 |
| Mailing Address |
221 Technology Pkwy Nw Rome GA 30165-1369 |
| Practice Telephone | 7062955331 |
| Practice Fax Number | 7062366360 |
| Mailing Telephone | 7622351000 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 024942 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000320911A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487199055 | Raul Gonzalez | Behavior Technician | 1534 W 77th St, Hialeah, FL 33014-3317 | 2017-01-05 |
| 1194021436 | Raul Alberto Gonzalez | Massage Therapist | 14600 Sw 87th Ct, Palmetto Bay, FL 33176-8018 | 2011-02-03 |
| 1568621563 | Raul Sergio Gonzalez | Pathology | 601 Elmwood Ave # 626, Room G-5264a, Rochester, NY 14642-0001 | 2008-06-04 |
| 1407036601 | Raul C Gonzalez | Dentist | 1760 Coral Way, Coral Gables, FL 33145-2729 | 2007-11-06 |
| 1679618458 | Raul A Gonzalez | Physician Assistant | 446 Sw 191st Ter, Pembroke Pines, FL 33029-5463 | 2007-02-20 |
| 1821651670 | Raul Gonzalez | Technician, Other | 13428 Maxella Ave Ste 913, Marina Del Rey, CA 90292-5620 | 2019-04-17 |
| 1790107456 | Raul Gonzalez Jr. | Social Worker | 1680 E 120th St, Los Angeles, CA 90059-3026 | 2014-01-15 |
| 1710328323 | Raul K Gonzalez | Counselor | 1485 S M-139, Benton Harbor, MI 49022 | 2013-07-11 |
| 1871642058 | Raul Gonzalez | Social Worker | 1933 S Broadway, Los Angeles, CA 90007-4501 | 2007-01-09 |
| 1356417596 | Raul Gonzalez | Clinical Neuropsychologist | 11200 Sw 8th St, Ahc4 - 461, Miami, FL 33199-2516 | 2006-11-28 |
| Street Address |
1825 MARTHA BERRY BLVD NW |
| City | ROME |
| State | GA |
| Zip Code | 30165-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104924 | Natasha Amanda Sands | Family Medicine | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2005-06-16 |
| 1922605401 | Lauryn Goss Vines | Nurse Practitioner | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2020-10-07 |
| 1508479536 | Emily Adams Thornberry | Nurse Practitioner | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2020-08-28 |
| 1831738368 | Lori Patricia Bain | Nurse Practitioner | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2020-01-01 |
| 1225670532 | Caleb Elisha Etheridge | Physician Assistant | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2019-10-09 |
| 1306498118 | Allison Heidi Pledger | Nurse Practitioner | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2019-07-11 |
| 1396301180 | Julie Goulding Shrewsbury | Nurse Practitioner | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2019-05-16 |
| 1346725264 | Lacy Holland Lacey | Nurse Practitioner | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2018-09-26 |
| 1215439286 | Swaraj Suhas Hublikar | Physician Assistant | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2018-03-06 |
| 1245740828 | Ashley Marie Gaulin | Physician Assistant | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2017-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962843680 | Amarabalan Rajendran | Internal Medicine | 3 Central Plz # 353, Rome, GA 30161-3233 | 2013-07-10 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1942571781 | Gene Grant Davidson | Internal Medicine | 92 Twin Lake Rd Sw, Rome, GA 30165-8533 | 2012-01-25 |
| 1992004923 | Georgia Wound Physicians, LLC | Internal Medicine | 2304 Shorter Ave Nw, Rome, GA 30165-1944 | 2011-03-16 |
| 1831421189 | Susan Beth Levenstein | Internal Medicine | Via S. Alberto Magno, 5, Rome, RM 00153 | 2010-02-10 |
| 1932336922 | Tejas V Raiyani | Internal Medicine | 100 John Maddox Dr Nw Ste A2, Rome, GA 30165-1431 | 2009-06-17 |
| 1336304609 | Tessa L Gibson | Internal Medicine | 2112 Shorter Ave Nw Ste 200, Rome, GA 30165-2042 | 2008-07-25 |
| 1285896167 | Antonina Legaspi Manglapus | Internal Medicine | 6233 Lamphear Road, Rome, NY 13440 | 2008-07-01 |
| 1174785158 | Tushar Shah | Internal Medicine | 1208 Claridge Dr Se, Rome, GA 30161-8577 | 2008-06-30 |
| 1922214063 | Rebecca Boyd Madden | Internal Medicine | 14 John Maddox Dr Nw, Rome, GA 30165-1450 | 2007-05-15 |
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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.