IGNACIO GONZALEZ-GOMEZ (NPI# 1720187610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720187610 |
| Entity Type | Individual |
| Full Name | IGNACIO GONZALEZ-GOMEZ |
| Credential | M.D. |
| Practice Address |
501 6th Ave S St Petersburg FL 33701-4634 |
| Mailing Address |
501 6th Ave S Box 6941 St Petersburg FL 33701-4634 |
| Practice Telephone | 7277674341 |
| Practice Fax Number | 7277678516 |
| Mailing Telephone | 7277674429 |
| Mailing Fax Number | 7277674970 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2010-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0213X |
Pathology Specialization: Pediatric Pathology |
ME104028 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A670490 | 05 | |
| FL | AVMED | 331553 | 01 |
| FL | 000782800 | 05 | |
| FL | CIGNA | 1981246 | 01 |
| FL | STAYWELL/HEALTHEASE | 294635 | 01 |
| FL | BLUE CROSS/BLUE SHIELD | 1454H | 01 |
| FL | AETNA | 7913502 | 01 |
| Street Address |
501 6TH AVE S |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33701-4634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437152378 | James M Anderson | Radiology | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2005-05-24 |
| 1104434737 | Sarah Walker Beyrouti | Nurse Practitioner | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2020-07-20 |
| 1689291643 | Katie Kauffman | Registered Nurse | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2020-06-25 |
| 1992326086 | Amber Renee Daigle | Nurse Practitioner | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2020-04-30 |
| 1336769256 | Phung Baxter | Physician Assistant | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2020-04-21 |
| 1891314878 | Elizabeth Cunningham | Student in an Organized Health Care Education/Training Program | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2020-04-10 |
| 1780212860 | Kassey Wash | Student in an Organized Health Care Education/Training Program | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2020-04-01 |
| 1083242200 | Matthew James Hamilton | Student in an Organized Health Care Education/Training Program | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2020-04-01 |
| 1932737442 | Emily Zander | Student in an Organized Health Care Education/Training Program | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2020-03-30 |
| 1114555893 | Madhuri Prasad | Student in an Organized Health Care Education/Training Program | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2020-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
| 1851920953 | Michelle Tedrowe | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg Family Care Center, 700 6th Street South, St. Petersburg, FL 33701 | 2020-04-02 |
| 1164070264 | Melissa Joy Fitzpatrick | Occupational Therapist | 239 14 Ave Ne, St Petersburg, FL 33701 | 2019-09-01 |
| 1841763091 | William Carpenter Scott | Dentist | 239 2nd Ave S # 100, St Petersburg, FL 33701 | 2019-01-09 |
| 1992289318 | Westminster Senior Services, Inc. | Registered Nurse | 830 North Shore Dr. Ne, St. Petersburg, FL 33701 | 2018-09-21 |
| 1265929780 | B&b Florida Eye Care Pllc | Optometrist | 1380 4th St N, St. Petersburg, FL 33701 | 2018-04-19 |
| 1730684895 | Loraine Marie Torres Garcia | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg, 700 6th Street South, St Petersburg, FL 33701 | 2018-03-29 |
| 1598267445 | Vincent Malik Dehili | Psychologist | 146 2nd Street North, Suite 305, St. Petersburg, FL 33701 | 2018-03-07 |
| 1770083073 | Megan Sanborn | Nurse Practitioner | 601 5th St S Ste 304, St Petersburg, FL 33701 | 2018-02-14 |
| 1174037089 | Julius Griffin | Licensed Practical Nurse | 1115 Highland St N, Apt B, Saint Petersburg, FL 33701 | 2017-11-30 |
| Find all providers in zip 33701 | ||||
| Taxonomy Code | 207ZP0213X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Pediatric Pathology |
| A pediatric pathologist is expert in the laboratory diagnosis of diseases that occur during fetal growth, infancy and child development. The practice requires a strong foundation in general pathology and substantial understanding of normal growth and development, along with extensive knowledge of pediatric medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417935222 | Kenneth Raye Washington | Pathology | 601 5th St S, St Petersburg, FL 33701 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578556643 | Dennis M Drehner | Pathology | 1717 S. Orange Ave., Suite 100, Nemours Childrens Clinic, Orlando, Orlando, FL 32806-2946 | 2005-08-24 |
| 1710181243 | Mandolin Summer Ziadie | Pathology | 3501 Johnson St, Hollywood, FL 33021-5421 | 2007-06-11 |
| 1255464681 | Emma Edelmira Diaz | Pathology | 5610 W La Salle St, Tampa, FL 33607-1770 | 2007-03-14 |
| 1962503771 | Lili Miles | Pathology | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2006-09-26 |
| 1306940655 | Ana M Gomez | Pathology | 3501 Johnson St, Hollywood, FL 33021 | 2006-09-08 |
| 1952315731 | Rita L Romaguera | Pathology | 1611 Nw 12th Ave, Box 016960 M851, Miami, FL 33136-1005 | 2006-07-28 |
| City | ST PETERSBURG |
| Zip Code | 33701 |
Please comment or provide details below to improve the information on IGNACIO GONZALEZ-GOMEZ.
| 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.