IVAN GONZALEZ


Address: 1260 E Woodland Ave, Suite 200, Springfield, PA 19064-3969
Phone: 6106904490

IVAN GONZALEZ (NPI# 1578942884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578942884
Entity Type Individual
Full Name IVAN GONZALEZ
Credential M.D.
Practice Address 1260 E Woodland Ave
Suite 200
Springfield
PA 19064-3969
Mailing Address Po Box 8500-6355
Philadelphia
PA 19178-0001
Practice Telephone 6106904490
Mailing Telephone 6104977520
Enumeration Date 2015-05-20
Last Update Date 2015-05-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers IVAN GONZALEZ

NPI Name Taxonomy Address Enumeration
1518512706 Ivan Gonzalez Non-emergency Medical Transport (VAN) 738 Sw 97th Court Cir, Miami, FL 33174-1987 2019-08-05
1528281409 Ivan Alberto Gonzalez Pediatrics 1580 N.w. 10th Avenue, Locator Code D4-4, Miami, FL 33136 2007-04-10
1962056010 Ivan Aldair Gonzalez Dentist 2215 W Fern Ave, Mcallen, TX 78501-6176 2019-07-26
1528533486 Ivan Gonzalez Case Manager/Care Coordinator 1600 E Belle Ter, Bakersfield, CA 93307-3871 2018-10-08
1467953323 Ivan Gonzalez Behavior Technician 5820 Oberlin Dr Ste 111, San Diego, CA 92121-3743 2018-02-26
1376913434 Ivan Gonzalez Counselor 3316 W Beverly Blvd, Montebello, CA 90640-1537 2015-10-01
1184013252 Ivan Gonzalez Psychologist 2817 Reilly Road, Womack Army Medical Center, Fort Bragg, NC 28310 2015-01-13
1568442838 Ivan Gonzalez Podiatrist 18710 Linden Blvd, Saint Albans, NY 11412-4026 2006-01-20

Office Location

Street Address 1260 E WOODLAND AVE
SUITE 200
City SPRINGFIELD
State PA
Zip Code 19064-3969

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942207212 Christine Marie Donohue-henry Family Medicine 1260 E Woodland Ave, Suite 200, Springfield, PA 19064-3969 2005-07-01
1730795055 Bj's Wholesale Club Inc. Eyewear Supplier (Equipment, not the service) 1260 E Woodland Ave, Springfield, PA 19064-3969 2020-09-22
1780243774 Zhuo Qian Zhang Family Medicine 1260 E Woodland Ave, Springfield, PA 19064-3969 2019-06-12
1134788375 Jesse Olsen Family Medicine 1260 E Woodland Ave, Springfield, PA 19064-3969 2019-06-11
1700328069 Ashley K Hill Counselor 1260 E Woodland Ave, Suite 212, Springfield, PA 19064-3969 2016-11-17
1700236759 Jason Keiner Family Medicine 1260 E Woodland Ave, Suite 200, Springfield, PA 19064-3969 2016-06-20
1578913620 Ashu Singh Family Medicine 1260 E Woodland Ave, Suite 200, Springfield, PA 19064-3969 2016-06-20
1750731709 Philip Bixby Family Medicine 1260 E Woodland Ave, Suite 200, Springfield, PA 19064-3969 2016-06-20
1336514496 Omar Lenfesty Optometrist 1260 E Woodland Ave, Springfield, PA 19064-3969 2015-12-01
1790152379 Mary Ngoc-tram Nguyen Optometrist 1260 E Woodland Ave, Springfield, PA 19064-3969 2015-08-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023513058 Prospect Crozer Home Health and Hospice, LLC Hospice Care, Community Based 200 W. Sroul Road, Springfield, PA 19064 2018-03-30
1912369539 Olga Burt Physical Therapy Assistant 146 Rose Lane, Springfield, PA 19064 2016-03-23
1124407309 Communities of Don Guanella and Divine Providence Intermediate Care Facility, Mentally Retarded 1745 S. Sproul Rd, Springfield, PA 19064 2015-05-21
1477932655 Communities of Don Guanella and Divine Providence Intermediate Care Facility, Mentally Retarded 1755 S. Sproul Rd, Springfield, PA 19064 2015-05-21
1003295288 Communities of Don Guanella and Divine Providence Intermediate Care Facility, Mentally Retarded 1765 S. Sproul Rd, Springfield, PA 19064 2015-05-21
1427483742 Casseys Optical Inc Durable Medical Equipment & Medical Supplies 139 S State Road, Springfield, PA 19064 2013-09-05
1184982225 Ultimate Hearing Solutions II, LLC Audiologist-Hearing Aid Fitter 471 Baltimore Pike, Springfield, PA 19064 2012-04-26
1295091684 Theresa Nolan Registered Nurse 194 West Sprould Road, Suite 105, Springfield, PA 19064 2012-04-10
1649551367 Pa Center for Hearing and Balance, LLC Hearing Aid Equipment 760 W Sproul Road, Suite 103, Springfield, PA 19064 2011-09-08
1376864694 Cynthia Lacapra Family Medicine 965 Baltimore Pike Ste B2, Springfield, PA 19064 2010-06-22
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538773361 Aarika Danielle Gardner Student in an Organized Health Care Education/Training Program 560 W Bryant Apt D207, Springfield, MO 65810-8329 2020-08-31
1134743073 Jared Saylor Student in an Organized Health Care Education/Training Program 901 S National Ave, Prof 160, Springfield, MO 65897 2020-06-06
1659995694 Erin Bowler Student in an Organized Health Care Education/Training Program 51 Ingersoll Grv, Springfield, MA 01109-4010 2020-06-05
1063035483 Mary Anne Iellamo Student in an Organized Health Care Education/Training Program 3400 Main St Fl 2, Springfield, MA 01199-1003 2020-05-20
1760005359 Hannah Elizabeth Schumann Student in an Organized Health Care Education/Training Program 1621 E Lark St, Springfield, MO 65804-4351 2020-05-18
1962024109 Brittany Nicole Campbell Student in an Organized Health Care Education/Training Program 2266 Boysenberry Ln Apt 4, Springfield, IL 62711-5414 2020-05-11
1518587286 Emily Lyn Street Student in an Organized Health Care Education/Training Program 38 Country Pl, Springfield, IL 62703-5310 2020-04-22
1730709411 Mary Kathleen Simon Student in an Organized Health Care Education/Training Program 1820 S Wiggins Ave, Springfield, IL 62704-3335 2020-04-22
1225658131 Sarah Colby Mchugh Student in an Organized Health Care Education/Training Program 759 Chestnut St # S5427, Springfield, MA 01199-0001 2020-04-21
1346879889 Ashly Seby Student in an Organized Health Care Education/Training Program 86 Redwood Rd Fl 3, Springfield, NJ 07081-2426 2020-04-06
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Competitor

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City SPRINGFIELD
Zip Code 19064

Improve Information

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Dataset Information

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.

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