ROBERT GONSALVES III (NPI# 1619395357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619395357 |
| Entity Type | Individual |
| Full Name | ROBERT GONSALVES III |
| Credential | DO |
| Practice Address |
1920 E Cambridge Ave Ste 301 Phoenix AZ 85006 |
| Mailing Address |
1920 E Cambridge Ave Ste 301 Phoenix AZ 85006-1464 |
| Practice Telephone | 0269330935 |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2020-04-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
704889 | AZ | Allopathic & Osteopathic Physicians |
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
007269 | AZ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1920 E CAMBRIDGE AVE STE 301 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992797906 | Grazyna M Piekos-sobczak | Pediatrics | 1920 E Cambridge Ave Ste 301, Phoenix, AZ 85006-1464 | 2005-08-16 |
| 1932734332 | Lorena Sosa | Dietitian, Registered | 1920 E Cambridge Ave Ste 301, Phoenix, AZ 85006-1464 | 2020-03-05 |
| 1487192290 | Maria Silva | Dietitian, Registered | 1920 E Cambridge Ave Ste 301, Phoenix, AZ 85006-1464 | 2017-02-01 |
| 1518306448 | Pamela S.w. Smith | Pediatrics | 1920 E Cambridge Ave Ste 301, Phoenix, AZ 85006-1464 | 2013-06-25 |
| 1053653113 | Amanda Marie Campos | Pediatrics | 1920 E Cambridge Ave Ste 301, Phoenix, AZ 85006-1464 | 2013-03-26 |
| 1912248287 | Paulette S Savino | Dietitian, Registered | 1920 E Cambridge Ave Ste 301, Phoenix, AZ 85006-1464 | 2013-03-11 |
| 1881932226 | Janiel L. Pimentel-vasquez | Pediatrics | 1920 E Cambridge Ave Ste 301, Phoenix, AZ 85006 | 2013-01-18 |
| 1801189691 | Rochelle Terri Lynette Wilson | Pediatrics | 1920 E Cambridge Ave Ste 301, Phoenix, AZ 85006-1464 | 2011-05-26 |
| 1043543812 | Synthia Puffenberger | Psychologist | 1920 E Cambridge Ave Ste 301, Phoenix, AZ 85006-1464 | 2009-09-11 |
| 1780811414 | Nancy Ellen Deluca | Dietitian, Registered | 1920 E Cambridge Ave Ste 301, Phoenix, AZ 85006-1464 | 2009-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679535405 | Tala S Dajani | Pediatrics | 15600 N Black Canyon Hwy, Suite C-102, Phoenix, AZ 85053-4055 | 2006-04-05 |
| 1053653113 | Amanda Marie Campos | Pediatrics | 1920 E Cambridge Ave Ste 301, Phoenix, AZ 85006-1464 | 2013-03-26 |
| 1518227016 | Melissa Anne Chambers | Pediatrics | 1919 E Thomas Rd, Phoenix Children's Hospital, Phoenix, AZ 85016-7710 | 2012-05-18 |
| 1962706317 | Payal S Patel | Pediatrics | 2601 E Roosevelt St, Phoenix, AZ 85008 | 2010-12-28 |
| 1215190863 | Areej K Younes | Pediatrics | 1920 E Cambridge Ave Ste 301, Phoenix, AZ 85006-1464 | 2008-07-03 |
| 1265554612 | The Pediatric Endocrine Diabetes Clinic PC | Pediatrics | 333 W Thomas Rd, Suite 201, Phoenix, AZ 85013-4417 | 2007-04-05 |
| 1700994779 | Roger Earl Johnsonbaugh | Pediatrics | 3411 N 5th Ave, Suite 201, Phoenix, AZ 85013-3811 | 2006-08-29 |
| 1619902251 | Robert Ganelin | Pediatrics | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2006-07-12 |
| 1235191727 | Mahmoud B Kabbani | Pediatrics | 3811 E Bell Rd, Suite 206, Phoenix, AZ 85032-2138 | 2006-04-03 |
| 1053372144 | Silvia Kaufmann | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2006-03-29 |
| Find all providers in PHOENIX | ||||
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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.