RICHARD P GONZALEZ (NPI# 1730136060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730136060 |
| Entity Type | Individual |
| Full Name | RICHARD P GONZALEZ |
| Credential | MD |
| Practice Address |
2160 S 1st Ave Maywood IL 60153-3328 |
| Practice Telephone | 7082169000 |
| Mailing Telephone | 7082169000 |
| Mailing Fax Number | 7082169000 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2016-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
036083260 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 000044493 | 05 | |
| MS | 00120450 | 05 | |
| LA | 1151181 | 05 | |
| AL | BCBS - 2451 FILLINGIM | 51592788 | 01 |
| FL | 255987100 | 05 | |
| AL | BLUE CROSS | 51044493 | 01 |
| AL | RAILROAD MEDICARE PTAN | 020042466 | 01 |
| AL | BCBS - 575 STANTON ROAD | 51593901 | 01 |
| AL | UNITED HEALTH CARE | 17-10433 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568986883 | Richard Gonzalez | Behavior Technician | 625 S Fair Oaks Ave #300, South Pasadena, CA 91030 | 2017-07-28 |
| 1235519489 | Richard Gonzalez | Social Worker | 2335 Tamiami Trl N Ste 202, Naples, FL 34103-4457 | 2015-06-03 |
| 1760775399 | Richard M Gonzalez | Counselor | 668 Greenbriar Townhouse Way, Las Vegas, NV 89121-2452 | 2011-05-16 |
| 1225175797 | Richard Edward Gonzalez | Pharmacist | 25707 Union Tpke, Glen Oaks, NY 11004-1250 | 2007-01-31 |
| 1144855867 | Richard Gonzalez | Counselor | 1444 5th Ave, Bay Shore, NY 11706-4147 | 2020-03-04 |
| 1962995670 | Richard Jesus Gonzalez | Student in an Organized Health Care Education/Training Program | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2018-06-08 |
| 1104028497 | Richard Gonzalez | Specialist/Technologist, Other | 3100 E Fletcher Ave, Tampa, FL 33613-4613 | 2007-05-31 |
| 1750477550 | Richard Gonzalez | Military Health Care Provider | 7950 Martin Loop, Fort Benning, Columbus, GA 31905 | 2006-10-05 |
| 1588756100 | Richard Gonzalez | Pediatrics | 232 N Orange Blossom Trl, Orlando, FL 32805-1612 | 2006-09-29 |
| 1083699367 | Richard Gonzalez | Nurse Anesthetist, Certified Registered | 9370 Sunset Dr, Suite A-250, Miami, FL 33173-5431 | 2005-12-09 |
| Street Address |
2160 S 1ST AVE |
| City | MAYWOOD |
| State | IL |
| Zip Code | 60153-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174525489 | Michael Jm Raffin | Audiologist | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2005-06-01 |
| 1366049900 | Kenneth Bernard Jordan | Psychiatry & Neurology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-10-06 |
| 1124634712 | Abhilasha Nitin Borkar | Pathology | 2160 S 1st Ave, Maywood, IL 60153 | 2020-09-18 |
| 1306450325 | Linda Ippolito | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-09-08 |
| 1194339135 | Meghan Henry | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-09-08 |
| 1194339911 | Victoria Leah Drozd | Student in an Organized Health Care Education/Training Program | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-31 |
| 1396357588 | Madison Schaefer | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-19 |
| 1134731375 | Otanthia S Williams-brady | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-19 |
| 1205454287 | Janet Nickels | Audiologist | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-07-07 |
| 1417574054 | Kathryn Clemans | Nurse Anesthetist, Certified Registered | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053933077 | Judie Noemie Hoilat | Internal Medicine | 2160 S 1st Avenue, Maywood, IL 60153 | 2020-05-13 |
| 1457972457 | Yuchen Zheng | Student in an Organized Health Care Education/Training Program | Department of Neurology, Loyola University Medical Cent, 2160 S. First Ave, Maywood, IL 60153 | 2020-04-30 |
| 1437779519 | Amna Amad Siddiqui | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 | 2020-04-20 |
| 1982232211 | Brian Kurtz | Student in an Organized Health Care Education/Training Program | 2160 S First Ave, Bulding 105-suite 2840a, Maywood, IL 60153 | 2020-03-31 |
| 1902434947 | Saadiya Jabbar | Psychiatry & Neurology | Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 | 2020-03-27 |
| 1558919472 | Linda Sue Moton | Technician | 10 South 15 Apt. 1, Maywood, IL 60153 | 2019-09-04 |
| 1760047518 | Braden Robert Dasovic | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue Building 105/room 2700, Department, Loyola Medical Center, Maywood, IL 60153 | 2019-05-07 |
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
| 1053871681 | Michael V Padua | Psychiatry & Neurology | 2160 S 1st Ave Bldg, Maywood, IL 60153 | 2019-03-20 |
| Find all providers in zip 60153 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154397495 | Geoffrey Silver | Surgery | 2160 S. First Avenue, Bldg 110, 3rd Floor, Maywood, IL 60153 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275709438 | Abigail Kirsten Tarbox | Surgery | 676 N St Claire St, Northwestern Memorial Hospital, Chicago, IL 60611 | 2008-05-07 |
| 1235304551 | Peter Gerard Bendix | Surgery | 5841 S Maryland Ave # 5033, Chicago, IL 60637-1443 | 2008-04-28 |
| 1033258397 | Laurel Ann Omert | Surgery | 9249 Lincolnwood Dr, Evanston, IL 60203-1609 | 2007-02-05 |
| 1295753093 | Carlos Ortega Md Sc | Surgery | 5140 N California Ave Ste 780, Chicago, IL 60625-7066 | 2006-07-18 |
| 1457787475 | Giovanni D. Giannotti Md, S.c. | Surgery | 2222 W Division St, Suite 335, Chicago, IL 60622-2717 | 2013-09-23 |
| 1588956635 | Chadrick Ryan Evans | Surgery | 1001 Main St, Suite 300, Peoria, IL 61606-1907 | 2011-05-09 |
| 1295025534 | Jennifer Turney Cone | Surgery | 5841 S Maryland Ave # Mc5033, Chicago, IL 60637-1443 | 2011-04-07 |
| 1124253935 | Anne M Stey | Surgery | 259 E Erie St Fl 16, Chicago, IL 60611-2987 | 2009-05-22 |
| 1134369630 | Nikunj K. Chokshi | Surgery | 5841 S Maryland Ave, Chicago, IL 60637 | 2009-02-24 |
| 1922254127 | Elizabeth Gwinn | Surgery | 836 W Wellington Ave Rm 4813cc, Chicago, IL 60657-5147 | 2008-08-07 |
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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.