MR. CHARLES RAY GOSNELL (NPI# 1477531598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477531598 |
| Entity Type | Individual |
| Full Name | MR. CHARLES RAY GOSNELL |
| Credential | MD |
| Practice Address |
497 West Lott Buffalo WY 82834-1609 |
| Practice Telephone | 3076842228 |
| Practice Fax Number | 3076845385 |
| Mailing Telephone | 3076842228 |
| Mailing Fax Number | 3076842177 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
3668A | WY | Allopathic & Osteopathic Physicians |
| X | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
3668A | WY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | BLUE CROSS | 312761 | 01 |
| Street Address |
497 WEST LOTT |
| City | BUFFALO |
| State | WY |
| Zip Code | 82834-1609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912105107 | Blaine J Ruby | Surgery | 497 West Lott, Buffalo, WY 82834-1609 | 2007-07-10 |
| 1003914359 | Gladys Elizabeth Larson | Audiologist | 497 West Lott, Buffalo, WY 82834-1609 | 2006-09-20 |
| 1992784961 | Johnson County Memorial Hospital | Home Health | 497 West Lott, Buffalo, WY 82834-1609 | 2006-01-10 |
| 1891774873 | Johnson County Memorial Hospital | Hospice Care, Community Based | 497 West Lott, Buffalo, WY 82834-1609 | 2006-01-10 |
| 1427037407 | Johnson County Memorial Hospital | Alzheimer Center (Dementia Center) | 497 West Lott, Buffalo, WY 82834-1609 | 2006-01-10 |
| 1003894122 | Johnson County Memorial Hospital | General Practice | 497 West Lott, Buffalo, WY 82834-1609 | 2006-01-09 |
| 1285612317 | Family Medical Center | Clinic/Center | 497 West Lott, Buffalo, WY 82834-1609 | 2006-01-09 |
| 1346228475 | Mark Steven Schueler | Family Medicine | 497 West Lott, Buffalo, WY 82834-1609 | 2006-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083993216 | Matthew Rick Raney | Dentist | 1001 Eagle View Drive, Buffalo, WY 82834 | 2011-08-05 |
| 1083881262 | Sandra K Ham | Nurse Practitioner | 107 W Hesse, Buffalo, WY 82834 | 2008-05-15 |
| 1366502726 | Cotant Family Dentistry, P.C. | Dental Hygienist | 112 High Street, Buffalo, WY 82834 | 2006-12-08 |
| 1487755823 | Jeanne Louise Peterson | Midwife | 30 Luna, Buffalo, SC 82834 | 2006-09-26 |
| 1902873193 | James Loren Johnson Jr. | Chiropractor | 963 Fort St, 4, Buffalo, WY 82834 | 2006-03-07 |
| 1043854888 | Wayne Kenneth Mcpherson Jr. | Marriage & Family Therapist | 512 W. Lott, Buffalo, WY 82834-1336 | 2019-11-05 |
| 1194248625 | Thales Christian Haskell | Dentist | 1001 Eagle View Dr, Buffalo, WY 82834-1417 | 2017-07-17 |
| 1528094158 | James Joseph Shubert | Dentist | 1001 Eagle View Dr, Buffalo, WY 82834-1422 | 2006-06-24 |
| 1457631558 | Eagle Summit Dental Clinic, Inc | Dentist | 1001 Eagle View Dr, Buffalo, WY 82834-1422 | 2011-08-19 |
| 1366719718 | Bidonde Family Practice, LLC | Nurse Practitioner | 107 W Hesse St, Buffalo, WY 82834-1501 | 2011-11-29 |
| Find all providers in zip 82834 | ||||
| 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 |
|---|---|---|---|---|
| 1740403526 | Thomas Joseph Laudico | Radiology | Elm and Carlton Street, Buffalo, NY 14263-0001 | 2007-04-10 |
| 1346367935 | Andrew T Dunn | Radiology | 100 High St Fl 2, Buffalo, NY 14203-1126 | 2007-03-26 |
| 1508807769 | David A Paul | Radiology | 2828 Main St, Buffalo, NY 14214-1722 | 2006-06-09 |
| 1285692657 | Frank J Mascaro | Radiology | 222 Genesee St, Buffalo, NY 14203 | 2006-05-03 |
| 1053379412 | Robert E Lutnick | Radiology | 222 Genesee Street, Buffalo, NY 14203 | 2006-05-03 |
| 1568420149 | Wendy E Zimmer | Radiology | 32 Saint Catherines Ct, Buffalo, NY 14222-1614 | 2006-05-03 |
| 1588667083 | Ahmed Nabil Belal | Radiology | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2005-05-27 |
| 1548785140 | Jennifer Lynn Shotwell | Radiology | 462 Grider St, Buffalo, NY 14215-3021 | 2017-08-04 |
| 1669823175 | David Weinthrop Levine | Radiology | 832 Walden Ave, Buffalo, NY 14211-2639 | 2016-06-27 |
| 1750744751 | University Radiology At Buffalo, Inc. | Radiology | 100 High St, Buffalo, NY 14203-1126 | 2016-03-29 |
| Find all providers in BUFFALO | ||||
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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.