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).
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 |
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 |
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 |
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 |
Street Address |
10085 DOUBLE R BLVD STE 310 |
City | RENO |
State | NV |
Zip Code | 89521-4832 |
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 |
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 Code | 207RE0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Endocrinology, Diabetes & Metabolism |
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. |
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 |
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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.