DR. GEORGE DANIEL GONZALEZ (NPI# 1588683585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588683585 |
| Entity Type | Individual |
| Full Name | DR. GEORGE DANIEL GONZALEZ |
| Credential | M.D. |
| Practice Address |
444 Clinchfield Street Suite 2900 Kingsport TN 37660 |
| Practice Telephone | 4232456101 |
| Practice Fax Number | 4232452396 |
| Mailing Telephone | 4232456101 |
| Mailing Fax Number | 4232452396 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2015-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD19962 | TN | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | MD19962 | TN | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD19962 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 4656188 | 01 | |
| VA | VIRGINIA MEDICAID | 7311095 | 01 |
| TN | BCBS TENNESSEE | 3130863 | 01 |
| TN | RAILROAD MEDICARE | 20043969 | 01 |
| VA | ANTHEM BCBS VIRGINIA | 265295 | 01 |
| TN | 3046049 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508095167 | George Gonzalez Jr. | Military Health Care Provider | Psc, Unit 4709, Apo, AE 09459-9998 | 2009-07-03 |
| 1306059696 | George A Gonzalez | Marriage & Family Therapist | 1313 W Buchanan St, Harlingen, TX 78550-6221 | 2007-05-07 |
| 1578185443 | George Gonzalez | Student in an Organized Health Care Education/Training Program | 3600 Route 112, Coram, NY 11727-4116 | 2020-05-13 |
| 1619029287 | George Gonzalez | Psychiatry & Neurology | 131 Old Road To 9 Acre Cor, John Cuming Building, Concord, MA 01742-4181 | 2007-01-17 |
| 1114906484 | George Andrew Gonzalez | Dentist | 9600 Veterans Dr Sw, American Lake Vamc (a-112-dent), Tacoma, WA 98493-0003 | 2006-01-13 |
| 1992786487 | George Gonzalez | Family Medicine | 275 W Herndon Ave, Clovis, CA 93612-0204 | 2005-11-10 |
| Street Address |
444 CLINCHFIELD STREET SUITE 2900 |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477539542 | Michael P Kauzlarich | Emergency Medicine | 444 Clinchfield Street, Suite 201, Kingsport, TN 37660-3606 | 2005-12-20 |
| 1831467067 | Mountain Region Family Medicine, PC | Family Medicine | 444 Clinchfield Street, Ste 201, Kingsport, TN 37660-3683 | 2011-12-02 |
| 1164582862 | Aaron K Metcalf | Family Medicine | 444 Clinchfield Street, Suite 201, Kingsport, TN 37660-3606 | 2006-12-11 |
| 1841369402 | John Albert Ehrenfried | Surgery | 444 Clinchfield Street, Suite 2900, Kingsport, TN 37660 | 2006-11-07 |
| 1629089784 | Andy Delwadia | Family Medicine | 444 Clinchfield Street, Suite 201, Kingsport, TN 37660-3606 | 2006-08-11 |
| 1528079910 | Robert Harold Funke | Family Medicine | 444 Clinchfield Street, Suite 201, Kingsport, TN 37660-3606 | 2006-08-10 |
| 1205844024 | Andrew Phillip Kramer | Surgery | 444 Clinchfield Street, Suite 2900, Kingsport, TN 37660 | 2006-08-04 |
| 1154354900 | Mack L Hicks | Family Medicine | 444 Clinchfield Street, Suite 201, Kingsport, TN 37660-3606 | 2006-07-07 |
| 1609806389 | Surgical Associates of Kingsport, Inc | Radiology | 444 Clinchfield Street, Suite 2900, Kingsport, TN 37660-3858 | 2006-07-05 |
| 1306897202 | Arthur Morgan Boyd | Family Medicine | 444 Clinchfield Street, Suite 201, Kingsport, TN 37660-3606 | 2006-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982635553 | Howard Thomas Brock | Surgery | 914 Broad St, Ste 2a, Kingsport, TN 37660-3817 | 2006-07-05 |
| 1417990730 | Kelly S Oggero | Surgery | 444 Clinchfield St Ste 2900, Kingsport, TN 37660-3858 | 2006-06-14 |
| 1659364602 | John R Hall | Surgery | 1833 Buckingham Ct, Kingsport, TN 37660-5871 | 2005-08-25 |
| 1477972933 | Legacy Vein Center Pllc | Surgery | 109 Jack White Dr, Kingsport, TN 37664-2364 | 2014-04-14 |
| 1407299324 | Grace Lucta Ward | Surgery | 105 W Stone Dr, Kingsport, TN 37660 | 2013-04-10 |
| 1417215195 | Stephanie Anne Hart | Surgery | 444 Clinchfield St Ste 2900, Kingsport, TN 37660-3858 | 2012-05-01 |
| 1578791307 | Robert Charles Allen | Surgery | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 | 2009-07-01 |
| 1386870285 | Elizabeth Michele Jackson | Surgery | 444 Clinchfield St, Suite 2900, Kingsport, TN 37660-3606 | 2009-06-05 |
| 1316164288 | John Stewart Keeley Jr. | Surgery | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2007-04-20 |
| 1841369402 | John Albert Ehrenfried | Surgery | 444 Clinchfield Street, Suite 2900, Kingsport, TN 37660 | 2006-11-07 |
| Find all providers in KINGSPORT | ||||
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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.