RENE GONZALEZ GARCIA (NPI# 1639269913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639269913 |
| Entity Type | Individual |
| Full Name | RENE GONZALEZ GARCIA |
| Credential | MD |
| Practice Address |
21700 Greenfield Rd Ste 203 Oak Park MI 48237 |
| Mailing Address |
21700 Greenfield Rd Oak Park MI 48237-2581 |
| Practice Telephone | 2489670115 |
| Practice Fax Number | 2489670136 |
| Mailing Telephone | 2489670115 |
| Mailing Fax Number | 2489670136 |
| Enumeration Date | 2006-10-15 |
| Last Update Date | 2019-07-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | 587 | PR | Other Service Providers |
| N | 207Q00000X | Family Medicine | 4301117103 | MI | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 4301117103 | MI | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 15953 | PR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | MEDICARE | DJ664A | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1609 E Vine St, Kissimmee, FL 347443733 | 4079449106 | 4079441319 |
| Street Address |
21700 GREENFIELD RD STE 203 |
| City | OAK PARK |
| State | MI |
| Zip Code | 48237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730431099 | Vesna Boggess | Registered Nurse | 21700 Greenfield Rd Ste 203, Oak Park, MI 48237-2879 | 2012-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395459 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 25940 Greenfield Rd, Oak Park, MI 48237 | 2020-04-22 |
| 1497397202 | Kimberly Wallace Md PC | Clinic/Center | 12900 W 9 Mile Road, Oak Park, MI 48237 | 2019-10-14 |
| 1174009211 | Jo-anne Spencer Woodard | Social Worker | 23300 Greenfield, Suite 122, Oak Park, MI 48237 | 2018-07-12 |
| 1285163600 | Yolanda Alicia Winters-byrdo | Social Worker | 18712 Quarry Rd., Riverview, MI 48237 | 2017-06-08 |
| 1972059699 | Cynthia F Lewis | Technician, Other | 15251 Kenwood St., Oak Park, MI 48237 | 2016-09-01 |
| 1083039531 | Tema Pefok | Home Health Aide | 21930 Harding St, Oak Park, MI 48237 | 2014-02-20 |
| 1073937116 | A1 Home Help Services | Home Health | 21700 Green Field Road, 253, Oak Park, MI 48237 | 2014-02-10 |
| 1629346648 | Mitun Chablani | Physical Therapist | 25900 Greenfield Rd Ste 110, Oak Park, MI 48237 | 2011-12-05 |
| 1841575891 | Hazy Mindful Care Giving Agency Inc | Hospice Care, Community Based | 21700 Greenfield, Ste 264, Oakpark, MI 48237 | 2011-10-20 |
| 1710101688 | Andrew Hardy Jr. | Internal Medicine | 22100 Greenfield Road, Oak Park, MI 48237 | 2007-04-12 |
| Find all providers in zip 48237 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134504343 | Royal Care Services | General Practice | 12724 W 9 Mile Rd, Oak Park, MI 48237-2959 | 2015-07-29 |
| 1780877993 | Solid Rock Care Center II | General Practice | 228 Madison St, Oak Park, IL 60302-4194 | 2007-08-21 |
| 1184608457 | Gregory Q. Clague | General Practice | 10300 W 9 Mile Rd, Oak Park, MI 48237-2993 | 2005-12-01 |
| 1609435056 | Select Medical Group of Michigan Pllc | General Practice | 23350 Greenfield Rd Ste 200, Oak Park, MI 48237-2496 | 2019-06-10 |
| 1982095071 | Rs Hartz Md Namptp Neuropathy Dr Sc | General Practice | 715 Lake St, Suite 900, Oak Park, IL 60301-1422 | 2015-02-10 |
| 1396093720 | Andrea Grubb Barthwell | General Practice | 610 S Maple Ave, Suite 3400, Oak Park, IL 60304-1091 | 2012-08-15 |
| 1053672923 | Direct Medical Pllc | General Practice | 22150 Greenfield Rd, Suite 203, Oak Park, MI 48237-2535 | 2012-06-06 |
| 1134418585 | Delta Administrative Management Solutions LLC | General Practice | 23300 Greenfield Rd, Suite 105b, Oak Park, MI 48237-5237 | 2011-04-06 |
| 1114216504 | Capital Administrative Management Solutions LLC | General Practice | 22100 Greenfield Rd, Suite B, Oak Park, MI 48237-2550 | 2011-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649120 | Source Medical Solutions Pllc | General Practice | 625 Kenmoor Ave Se Ste 301, Grand Rapids, MI 49546-2395 | 2020-11-06 |
| 1043832801 | Ksk Medical Pllc | General Practice | 6300 Winter Rd, Manitou Beach, MI 49253-9634 | 2020-05-14 |
| 1275184921 | Home Physicians Group Inc | General Practice | 18481 W 10 Mile Rd Ste 102, Southfield, MI 48075-2621 | 2019-09-24 |
| 1558913251 | Baybrooke Counseling | General Practice | 421 St. Josephs Ave, Suttons Bay, MI 49682 | 2019-07-12 |
| 1962062539 | Healthcare Alliance Pllc | General Practice | 35 S Johnson St Ste 1b, Pontiac, MI 48341-1660 | 2019-06-17 |
| 1356905061 | Comprehensive Care Medical Services | General Practice | 1747 Andover Ln Se, East Grand Rapids, MI 49506-4805 | 2019-04-29 |
| 1336602812 | Mk Certified, LLC | General Practice | 2140 Stone Rd, Ann Arbor, MI 48105-2535 | 2019-04-10 |
| 1215422555 | The Natural Momma Me Initiative | General Practice | 11000 W Mcnichols Rd Ste 212, Detroit, MI 48221-2389 | 2018-06-28 |
| 1881183028 | Silverstone Medical Group, Pllc | General Practice | 805 Oakwood Dr Ste 111, Rochester, MI 48307-1359 | 2018-05-03 |
| 1245739903 | Breanna Lee Brookens | General Practice | 1531 Barnard St, Saginaw, MI 48602-4902 | 2018-02-08 |
| 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.