MICHAEL RAYMUND C GONZALES


Address: 10085 Double R Blvd Ste 310, Reno, NV 89521-4832
Phone: 7759827260

MICHAEL RAYMUND C GONZALES (NPI# 1669635785) 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) 1669635785
Entity Type Individual
Full Name MICHAEL RAYMUND C GONZALES
Credential MD
Practice Address 10085 Double R Blvd Ste 310
Reno
NV 89521-4832
Mailing Address 850 Harvard Way
Reno
NV 89502-2055
Practice Telephone 7759827260
Practice Fax Number 7759827268
Mailing Telephone 5182530772
Mailing Fax Number 7759825496
Enumeration Date 2008-07-09
Last Update Date 2019-07-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
309848 LA Allopathic & Osteopathic Physicians
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
16309 NV Allopathic & Osteopathic Physicians
N 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
21747 MS Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program 0116019889 VA Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
MS RAILROAD MEDICARE P01109797 01
MS 09338860 05
NV CAQH NUMBER 13817541 01
MS AETNA 9971837 01
MS CIGNA 8822998 01
NV NV MD LIC NUMBER 16309 01
MS HEALTHSPRINGS 6056931 01
NV 1669635785 05
MS UNITED HEALTHCARE 3447931 01
MS WINDSOR HEALTH PLAN 931868 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1727 Imperial Blvd Bldg B, Lake Charles, LA 70605 3373103670 3374211408
2285 E Flamingo Rd, Suite 105, Las Vegas, NV 891195100 7028628226 7028628227

Office Location

Street Address 10085 DOUBLE R BLVD STE 310
City RENO
State NV
Zip Code 89521-4832

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770105629 Christine Marie Mahone Registered Nurse 10085 Double R Blvd Ste 310, Reno, NV 89521-4832 2020-05-14
1699246124 Community Care Services LLC Physician Assistant 10085 Double R Blvd Ste 310, Reno, NV 89521-4832 2018-12-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003266032 Matthew Gordon Family Medicine 10539 Professional Cir Ste 200, Reno, NV 89521 2016-06-21
1003297219 Erin Snell Social Worker 2374 Cartwright Rd, Reno, NV 89521 2015-06-12
1649696766 Passport Health Holdings, LLC. Preventive Medicine 9190 Double Diamond Parkway, # 131, Reno, NV 89521 2014-03-13
1538585146 Francis Thomas Webb Chiropractor 9393 Gateway Drive, Suite L, Reno, NV 89521 2014-03-07
1811336753 Hans Peter Gray Dentist 1141 Steamboat Pkwy Ste 900, Reno, NV 89521 2013-06-24
1194162990 Nevada Speech and Therapy Group Speech-Language Pathologist 1380 High Chaparral Drive, Reno, NV 89521 2013-06-03
1881934834 Cindy Lynn Barnes Occupational Therapist 1600 Mountain Lane, Reno, NV 89521 2013-02-27
1508105016 Shannon Marie Servi Social Worker 9060 Double Diamond Pkwy # 2-b, Reno, NV 89521 2013-02-04
1376853028 Steven Michael Bilach Specialist/Technologist, Other 15025 Tourmaline Dr, Reno, NV 89521 2010-10-15
1528377512 Kendra Brooks Newsome Behavioral Analyst 9408 Double R. Suite B, Reno, NV 89521 2010-09-24
Find all providers in zip 89521

Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659669190 Daniel R Caruso Md PC Internal Medicine 5065 E. Riggins Court, Suite 206, Reno, NV 89502 2011-07-19
1689686677 Claude Lardinois Internal Medicine 1700 Aquila Ave, Reno, NV 89509-3101 2006-08-12
1609883701 Lisa G Abbott Internal Medicine 665 Sierra Rose Dr, Reno, NV 89511-2060 2006-08-02
1083032759 Robert S. Fredericks Md Ltd. Internal Medicine 1495 Ridgeview Dr, Reno, NV 89519-6346 2014-03-31
1588901359 Nitesh D Kuhadiya Internal Medicine 10085 Double R Blvd, Suite 310, Reno, NV 89521-5860 2013-01-13
1225298375 Ossama Al-taher Internal Medicine 10085 Double R Blvd, Ste 310, Reno, NV 89521-5860 2008-06-12
1730350398 Robert J. Rosenquist, Chtd. Internal Medicine 540 W Plumb Ln, Suite 2a, Reno, NV 89509-3467 2008-03-21
1326247750 Ann Owen, M.d. Ltd. Internal Medicine 781 Mill St, Reno, NV 89502-1320 2007-07-16
1215135397 Robert S Fredericks Md Ltd Internal Medicine 540 W Plumb Ln, Suite 2a, Reno, NV 89509-3666 2007-07-10
1952459802 Fadi Hendee Internal Medicine 1664 N. Virginia Street, Mail Stop - 153, Reno, NV 89557 2007-01-08
Find all providers in RENO

Competitor

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City RENO
Zip Code 89521

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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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