AURORA GONZALEZ (NPI# 1376582502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376582502 |
Entity Type | Individual |
Full Name | AURORA GONZALEZ |
Credential | MD |
Practice Address |
100 Medical Plaza Lake St Louis MO 63367 |
Mailing Address |
220 Compass Point Dr. St Charles MO 63301 |
Practice Telephone | 6366255303 |
Practice Fax Number | 6366255403 |
Mailing Telephone | 6369474480 |
Mailing Fax Number | 6369479860 |
Enumeration Date | 2006-06-05 |
Last Update Date | 2013-12-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2009008660 | MO | Allopathic & Osteopathic Physicians |
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
35078738 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200859790A | 05 | |
OH | 2744043 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689853616 | Aurora Gonzalez | Counselor | 40 Pearl Street, Lancaster, PA 17603 | 2007-10-26 |
1730139585 | Aurora Gonzalez | Obstetrics & Gynecology | 6410 Fannin St, Suite 1200, Houston, TX 77030-5304 | 2006-05-11 |
Street Address |
100 MEDICAL PLAZA |
City | LAKE ST LOUIS |
State | MO |
Zip Code | 63367 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962575183 | Stanton Ross Schiller | Emergency Medicine | 100 Medical Plaza, Lake St Louis, MO 63367 | 2006-11-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295376697 | Stacy Brown | Counselor | 1216 Flagstone Terrace, Lake St. Louis, MO 63367 | 2019-10-07 |
1083172449 | Katie D Schmidt | Nurse Practitioner | 300 Medical Plz Ste 150, Lake St Louis, MO 63367 | 2019-03-05 |
1932639739 | Eren Taylor-scaggs | Social Worker | 112 Lake St. Louis Blvd, Lake St. Louis, MO 63367 | 2017-06-14 |
1184169203 | Be The Change Counseling Services | Community/Behavioral Health | 206 Centre On The Lake, Lake St. Louis, MO 63367 | 2016-12-28 |
1568812535 | Brittanie Weinhaus | Family Medicine | 6261 Ronald Regan Dr Ste #b19, Lake St. Louis, MO 63367 | 2016-06-20 |
1821445099 | Matt Beamer | Skilled Nursing Facility | 2885 Technology Drive, Lake St. Louis, MO 63367 | 2016-05-18 |
1710349642 | Jennifer Gandolfo | Early Intervention Provider Agency | 710 Abbottsford Ct., Lake St. Louis, MO 63367 | 2016-03-21 |
1760862361 | Joaquin Francisco Sumaya | Chiropractor | 11104 Veterans Memorial Pkwy., Lake Saint Louis, MO 63367 | 2015-06-09 |
1619214566 | Daniel Scott Terry | Counselor | 1000 Edgewater Pt Ste 401, Lake St Louis, MO 63367 | 2013-01-12 |
1437415551 | Cherie Jean Coletta | Nurse Practitioner | 100 Medical Plaza Dr, Emergency Department, Lake Saint Louis, MO 63367 | 2012-04-03 |
Find all providers in zip 63367 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417978990 | David L Pohl | Radiology | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2006-07-21 |
1821014754 | Edward Cohen | Radiology | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2006-07-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013534049 | Innovative Medical Solutions, Inc. | Radiology | 4218 Roanoke Rd Ste 304, Kansas City, MO 64111-4996 | 2020-06-25 |
1568092120 | Jeffrey Francis Schaffer | Radiology | 918 W Laurel Rd, Joplin, MO 64801-1052 | 2020-01-23 |
1093200966 | Alexander John Lubinski | Radiology | 1 Hospital Drive Dco6910, Columbia, MO 65212 | 2018-06-24 |
1275028136 | Austin Fletcher | Radiology | University Hospital One Hospital Drive, Department of Radiology Dc 069.10, Columbia, MO 65212-0001 | 2018-06-24 |
1578086310 | Missouri Telerad LLC | Radiology | 5117 South Neffleton Avenue, Springfiled, MO 65810 | 2017-07-24 |
1316467046 | Philip Silva | Radiology | 1 Hospital Drive University of Missouri, Columbia, MO 65212-0001 | 2017-06-23 |
1407389596 | Medical Mile Imaging | Radiology | 3905 E Windsmore Dr, Springfield, MO 65802 | 2017-04-06 |
1952832859 | Juhi Koolwal | Radiology | 1 Hospital Dirve Ddc06910, Columbia, MO 65212 | 2017-03-22 |
1508216920 | David Koch | Radiology | 1 Hospital Drive, Dc06910, Columbia, MO 65212 | 2016-06-16 |
1023462439 | Robert Michael Robbins | Radiology | 1 Hospital Drive Columbia Mo 65212, Columbia, MO 65212-4973 | 2016-04-21 |
Find all providers with the same taxonomy |
City | LAKE ST LOUIS |
Zip Code | 63367 |
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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.