LOUIS FLORENTINE GONZALES (NPI# 1447557202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447557202 |
| Entity Type | Individual |
| Full Name | LOUIS FLORENTINE GONZALES |
| Credential | IDC |
| Practice Address |
28k Queen Mary Ct Chester MD 21619-2528 |
| Practice Telephone | 3013125243 |
| Mailing Telephone | 3013125243 |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2011-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| Street Address |
28K QUEEN MARY CT |
| City | CHESTER |
| State | MD |
| Zip Code | 21619-2528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407359532 | Queen Anne's Medical Center, LLC | Internal Medicine | 2108 Rear Didonato Drive, Chester, MD 21619 | 2018-03-15 |
| 1700326410 | Erika Waynik | Nurse Practitioner | 115 South Piney Road, Minuteclinic, Chester, MD 21619 | 2017-02-28 |
| 1780923425 | Sabitri Baker | Specialist | 210 Country Day Rd, Chester, MD 21619 | 2013-01-31 |
| 1487986287 | Richard Davis Brown | Family Medicine | 128 Kirwans Landing Ln, Chester, MD 21619 | 2010-02-03 |
| 1225299837 | Kent Island Chiropractic and Rehabilitation | Clinic/Center | 1812 Main St., Suite C, Chester, MD 21619 | 2008-06-17 |
| 1407048283 | Brian Johnson Olmstead | Dentist | 1547 Rainbow Plaza, Chester, MD 21619 | 2007-08-15 |
| 1972721165 | John A Benkovich IIi | Dentist | 800 Abruzzi Drive Unit F, Chester, MD 21619 | 2007-04-23 |
| 1457400798 | James Charles Pochron | Dentist | 116 South Piney Rd #202, Chester, MD 21619 | 2007-01-09 |
| 1578628608 | Kent Drug Inc | Pharmacy | 1723 Main St, Chester, MD 21619 | 2006-12-27 |
| 1750304275 | Lisa Rene' Jackson-cherry | Counselor | 1114 Didinato Dr, Chester Regional Medical Center, Chester, MD 21619 | 2006-07-25 |
| Find all providers in zip 21619 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275143919 | Milton Mcintyre Brown Iv | Military Health Care Provider | 12610 Chanler Ln, Bowie, MD 20715-1302 | 2020-08-07 |
| 1548666415 | Janet Oliva | Military Health Care Provider | 6305 Riverdale Rd, Riverdale, MD 20737-2105 | 2014-11-05 |
| 1740693324 | Benjamin Graves | Military Health Care Provider | 3399 Strauss Ave Bldg 901, Indian Head, MD 20640-5164 | 2014-06-11 |
| 1497009187 | Devin P Sweet | Military Health Care Provider | 5813 Chinquapin Pkwy, 1st Floor, Baltimore, MD 21239-2555 | 2012-11-01 |
| 1083980932 | Ernest Theophilus Quimby Iv | Military Health Care Provider | Walter Reed Nmmc, Bldg 1 Suite 5103 8955 Wood Road, Bethesda, MD 20889-5628 | 2012-03-26 |
| 1497918635 | David Paul Horvath | Military Health Care Provider | 3399 Strauss Ave Ste 219, Indian Head, MD 20640-5164 | 2008-07-08 |
| 1932383593 | Michael A Walls | Military Health Care Provider | 3399 Strauss Ave, Suite 219, Indian Head, MD 20640-5164 | 2007-12-19 |
| 1316147457 | Michael Waters | Military Health Care Provider | 14900 Park Central Road, Naval Support Facility, Thurmont, MD 21788 | 2007-07-18 |
| 1538362041 | Elizabeth Ann Davenport | Military Health Care Provider | 734 Carpenter Park Apt A, Patuxent River, MD 20670-1308 | 2007-06-11 |
| 1407067259 | Michael Bohdan Bozydaj | Military Health Care Provider | 14900 Park Central, Thurmont, MD 21788 | 2007-05-24 |
| Find all providers with the same taxonomy | ||||
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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.