MR. GEORGE P GONZALES (NPI# 1417988981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417988981 |
| Entity Type | Individual |
| Full Name | MR. GEORGE P GONZALES |
| Credential | PA-C |
| Practice Address |
186 Airport Plaza Blvd Ste E Alcoa TN 37701-3197 |
| Mailing Address |
2606 Greenway Dr Ste 101 Knoxville TN 37918-1991 |
| Practice Telephone | 8656873313 |
| Practice Fax Number | 8656873362 |
| Mailing Telephone | 6586873313 |
| Mailing Fax Number | 8656873362 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2018-12-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA504 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3666697 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2606 Greenway Dr Ste 101, Knoxville, TN 379181991 | 6586873313 | 8656873362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902115215 | George Gonzales | Naturopath | 4246 Se Belmont St Ste 5, Portland, OR 97215-1676 | 2010-10-04 |
| 1013975101 | George Tendero Gonzales | General Practice | 1212 Powhatan Street, Fredericksburg, VA 22401 | 2006-05-01 |
| 1588974257 | George Anthony Gonzales | Counselor | 500 Crown Point Cir, Suite 100, Grass Valley, CA 95945-9514 | 2010-10-15 |
| 1386775591 | George Misael Gonzales | Pharmacist | 1301 Siler Rd, Building A, Santa Fe, NM 87507-3541 | 2007-03-08 |
| Street Address |
186 AIRPORT PLAZA BLVD STE E |
| City | ALCOA |
| State | TN |
| Zip Code | 37701-3197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487161717 | Patricia Lee Macfadden | Nurse Practitioner | 186 Airport Plaza Blvd Ste E, Alcoa, TN 37701-3197 | 2018-01-09 |
| 1831533223 | Cates Gentry Green | Physician Assistant | 186 Airport Plaza Blvd Ste E, Alcoa, TN 37701 | 2013-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598070807 | Tennessee Vein Center, Pllc | Clinic/Center | 203 Corporate Place, Alcoa, TN 37701 | 2010-08-11 |
| 1790099638 | Bill Charles Barker | Pharmacist | 225 N. Hall Road, Walgreens, Alcoa, TN 37701 | 2010-08-03 |
| 1235365453 | Marsh Chiropractic & Wellness Center, LLC | Chiropractor | 1080 Hunters Crossing, Alcoa, TN 37701 | 2009-06-02 |
| 1457485187 | Romeo San Diego Gomez | Physical Therapist | 101 Gill Street, Alcoa, TN 37701 | 2007-03-15 |
| 1811039266 | Khaled Othman Abumayaleh | Optometrist | 1030 Hunters Crossing Lane, Alcoa, TN 37701 | 2007-02-13 |
| 1861558777 | Paula Kay Wolfe | Technician/Technologist | 237 N Calderwood St, Alcoa, TN 37701 | 2006-12-28 |
| 1194893883 | K Darrel Clagough | Dentist | 310 Sanderson Street, Alcoa, TN 37701 | 2006-12-01 |
| 1225106008 | David C Finch | Physical Therapist | 1107 N Hall Rd Ste 200, Alcoa, TN 37701 | 2006-12-01 |
| 1366517070 | Gabriel C Edaugal | Physical Therapist | 101 Gill St, Alcoa, TN 37701 | 2006-11-21 |
| 1386617462 | Alcoa Senior Center | Clinic/Center | 2445 Calderwood St., Suite C2, Alcoa, TN 37701 | 2006-02-09 |
| Find all providers in zip 37701 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700245388 | Alecia Nicole Colvin | Physician Assistant | 205 Corporate Pl, Alcoa, TN 37701-1940 | 2016-02-11 |
| 1194350678 | Ilienis Perez-rios | Physician Assistant | 122 Kent Pl, Alcoa, TN 37701-1947 | 2020-03-05 |
| 1275190449 | Mark A Reiff | Physician Assistant | 266 Joule St, Alcoa, TN 37701-2422 | 2019-05-23 |
| 1427533488 | Jacob West | Physician Assistant | 266 Joule St, Alcoa, TN 37701-2422 | 2018-09-26 |
| 1134602352 | Olivia Callahan | Physician Assistant | 230 Associates Blvd, Alcoa, TN 37701-1943 | 2018-09-13 |
| 1568954329 | Emma Rose Niethammer | Physician Assistant | 266 Joule St, Alcoa, TN 37701-2422 | 2018-06-06 |
| 1922596261 | Victoria Sissom | Physician Assistant | 266 Joule St, Alcoa, TN 37701-2422 | 2018-04-23 |
| 1154818672 | Katherine Whaley | Physician Assistant | 266 Joule St, Alcoa, TN 37701 | 2018-04-19 |
| 1720445919 | Alexis Rouvelas Moses | Physician Assistant | 220 Associates Blvd, Alcoa, TN 37701-1943 | 2016-01-20 |
| 1225428089 | Brooke Hawkins | Physician Assistant | 266 Joule St, Alcoa, TN 37701-2422 | 2015-02-02 |
| Find all providers in ALCOA | ||||
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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.