DR. KETTY M GONZALEZ (NPI# 1427277672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427277672 |
| Entity Type | Individual |
| Full Name | DR. KETTY M GONZALEZ |
| Credential | M.D. |
| Practice Address |
1916 N Leg Rd Augusta GA 30909-4402 |
| Practice Telephone | 7066674265 |
| Practice Fax Number | 7066674301 |
| Mailing Telephone | 7066674265 |
| Mailing Fax Number | 7066674301 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2015-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
026280 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053519900 | Ketty Patino Gonzalez | Clinical Neuropsychologist | 5915 Ponce De Leon Blvd Ste 49, Coral Gables, FL 33146-2435 | 2007-07-03 |
| 1497103113 | Ketty Gonzalez | Technician, Other | 12855 Sw 132nd St, Suite 207, Miami, FL 33186-7207 | 2016-06-03 |
| Street Address |
1916 N LEG RD |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-4402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366492035 | East Central Health District | Public Health or Welfare | 1916 N Leg Rd, Augusta, GA 30909-4402 | 2006-05-11 |
| 1104220557 | Malcolm Irving Page | Internal Medicine | 1916 N Leg Rd, Augusta, GA 30909-4402 | 2014-10-14 |
| 1124421607 | Richmond Co. Health Dept. | Early Intervention Provider Agency | 1916 N Leg Rd, Augusta, GA 30909-4402 | 2014-09-29 |
| 1750700035 | Angilia Egbosimbah | Counselor | 1916 N Leg Rd, Augusta, GA 30909-4402 | 2014-04-15 |
| 1982943270 | Marcia B. Crowther | Case Manager/Care Coordinator | 1916 N Leg Rd, Augusta, GA 30909-4402 | 2013-02-06 |
| 1780957126 | Tommie Sue Bianchi-rossi | Registered Nurse | 1916 N Leg Rd, Augusta, GA 30909-4402 | 2012-02-15 |
| 1275777385 | Robin Danelle Murphey | Registered Nurse | 1916 N Leg Rd, Augusta, GA 30909-4402 | 2009-04-21 |
| 1184881104 | Debbie E Stanley | Registered Nurse | 1916 N Leg Rd, Augusta, GA 30909-4402 | 2008-05-19 |
| 1598935330 | Kathy Ann Sundberg | Registered Nurse | 1916 N Leg Rd, Augusta, GA 30909-4402 | 2008-03-07 |
| 1144368580 | Margaret Beasley | Licensed Practical Nurse | 1916 N Leg Rd, Augusta, GA 30909-4402 | 2007-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| 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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952411399 | Donald S. Goggans | Preventive Medicine | 1916 N Leg Rd, Augusta, GA 30909-4402 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730715137 | Ernest E Smith | Preventive Medicine | 115 W Dearborn Cir, Decatur, GA 30030-4474 | 2020-03-17 |
| 1033749288 | Atlanta Clinical Research Centers LLC | Preventive Medicine | 5673 Peachtree Dunwoody Rd Ste 440a, Atlanta, GA 30342-1797 | 2020-01-16 |
| 1316433105 | Thomas Boggs Richards | Preventive Medicine | 2067 Amberwood Way Ne, Atlanta, GA 30345-3903 | 2018-07-05 |
| 1871016592 | Sonja Suzzete Hutchins | Preventive Medicine | 435 Joseph E Lowery Blvd Sw, Atlanta, GA 30310-1471 | 2017-07-25 |
| 1922453547 | Passport Health Holdings, LLC | Preventive Medicine | 2470 Windy Hill Rd Se Ste 107, Marietta, GA 30067-8614 | 2016-05-02 |
| 1275988891 | Passport Health Holdings LLC | Preventive Medicine | 315 W Ponce De Leon Ave Ste 585, Decatur, GA 30030-2400 | 2016-05-02 |
| 1619336286 | Antonio Neri | Preventive Medicine | 1600 Clifton Rd Ne # Mse-92, Atlanta, GA 30329-4018 | 2016-02-11 |
| 1134597057 | Zachary Taylor IIi | Preventive Medicine | 1710 Whitehouse Ct, Dalton, GA 30720-8523 | 2015-09-09 |
| 1730557729 | Populations and Interventions Team Company (pitc) | Preventive Medicine | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2015-09-08 |
| 1609252626 | Anthony Robbins | Preventive Medicine | 2707 Whispering Pines Ct, Decatur, GA 30033-1453 | 2015-07-31 |
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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.