RICHARD GONZALEZ (NPI# 1750477550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750477550 |
| Entity Type | Individual |
| Full Name | RICHARD GONZALEZ |
| Credential | M.D. |
| Practice Address |
7950 Martin Loop Fort Benning Columbus GA 31905 |
| Mailing Address |
400 1st Division Rd Fort Benning Columbus GA 31905-6809 |
| Practice Telephone | 7065443730 |
| Mailing Telephone | 7065443730 |
| Mailing Fax Number | 7065443163 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | 9139 | PR | Other Service Providers |
| 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 |
| 1588756100 | Richard Gonzalez | Pediatrics | 232 N Orange Blossom Trl, Orlando, FL 32805-1612 | 2006-09-29 |
| 1730136060 | Richard P Gonzalez | Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2006-05-30 |
| 1083699367 | Richard Gonzalez | Nurse Anesthetist, Certified Registered | 9370 Sunset Dr, Suite A-250, Miami, FL 33173-5431 | 2005-12-09 |
| Street Address |
7950 MARTIN LOOP FORT BENNING |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629487384 | Kimberly Kolar | Physical Therapist | 7950 Martin Loop, Physical Therapy Main Clinic - Bldg 9215, Columbus, GA 31905-5648 | 2014-08-07 |
| 1629486154 | Samuel Nelson Sigoloff | Family Medicine | 7950 Martin Loop, Columbus, GA 31905-5648 | 2014-07-29 |
| 1780970301 | Lywanda Bright | Social Worker | 7950 Martin Loop, Columbus, GA 31905 | 2011-06-22 |
| 1619109055 | Vickie Smith Felix | Social Worker | 7950 Martin Loop, Columbus, GA 31905-5647 | 2009-08-19 |
| 1659544674 | April Diane Mccullough | Licensed Practical Nurse | 7950 Martin Loop, Columbus, GA 31905-5647 | 2008-04-10 |
| 1275670200 | Martin Army Community Hospital | Military Hospital | 7950 Martin Loop, Columbus, GA 31905 | 2007-01-31 |
| 1487721874 | Deon Travell Ridgell | Physician Assistant | 7950 Martin Loop, Columbus, GA 31905-5647 | 2006-11-29 |
| 1174699466 | Martin Army Community Hospital | Military Hospital | 7950 Martin Loop, Mcxb-n, Columbus, GA 31905-5647 | 2006-11-28 |
| 1144301862 | Us Army Meddac | Military Hospital | 7950 Martin Loop, Martin Army Comm Hosptal Ft.benning, Columbus, GA 31905 | 2006-10-18 |
| 1407828452 | Jeffrey Earl Page | Registered Nurse | 7950 Martin Loop, Columbus, GA 31905-5647 | 2006-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741366 | Micah Elizabeth Lajoie | Specialist/Technologist | 7148 2nd Cavalry Street, Ft. Benning, GA 31905 | 2020-05-11 |
| 1598301384 | Tiffany Nicole Wolfe | Physical Therapist | 7446 Sightseeing Road, Bldg 2515, Ft Benning, GA 31905 | 2019-11-27 |
| 1790261022 | Kyle Joseph Burkardt | Dentist | Love Dental Clinic, 7101 Hoff St, Bldg 9240, Apo, AA 31905 | 2018-07-19 |
| 1821514449 | Rebekah Schott | Dentist | 7101 Hoff St., Fort Benning, GA 31905 | 2017-08-15 |
| 1043757677 | Karen Tolliver | Dental Hygienist | 7770 Sightseeing Rd, Bldg 2828, Fort Benning, GA 31905 | 2017-01-20 |
| 1356897953 | Katelyn Dolezal | Student in an Organized Health Care Education/Training Program | 6600 Van Aalst Blvd, Bldg 9250, Fort Benning, GA 31905 | 2016-09-01 |
| 1043663636 | Vicky J. Nehl | Dental Hygienist | 11th Abn Div Rd, Bldg 3255, Fort Benning, GA 31905 | 2016-07-19 |
| 1376992719 | Xenia Key | Dental Assistant | 7770 Sightseeing Road, Bernheim Dental Clinic, Fort Benning, GA 31905 | 2016-06-07 |
| 1588013189 | Barbara Parker | Dental Assistant | 2828 Sightseeing Rd, Fort Benning, GA 31905 | 2016-06-06 |
| 1568811255 | Tavonna Ashley | Dental Hygienist | 7107 Hoff Street, Apo, AA 31905 | 2016-06-03 |
| Find all providers in zip 31905 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982063749 | Mallori Tittle | Military Health Care Provider | 6254 Warm Springs Rd Apt G6, Columbus, GA 31909-9152 | 2016-02-22 |
| 1598962011 | Becky Anne Abell | Military Health Care Provider | 5462 Whittlesey Blvd Apt 1122, Columbus, GA 31909-3048 | 2007-06-28 |
| 1275625568 | Evelyn Jackson | Military Health Care Provider | 209 Miller Loop, Fort Benning, Columbus, GA 31905-6560 | 2006-09-28 |
| 1235771239 | Adam Lewis | Military Health Care Provider | 6600 Van Aalst Blvd, Columbus, GA 31905-2102 | 2019-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700425568 | Greggory Theotis Kent | Military Health Care Provider | 223 E Grady Ave, Lyons, GA 30436-1509 | 2019-12-26 |
| 1083142947 | Integrative Cap Health Practices | Military Health Care Provider | 770 Old Roswell Pl Ste G400, Roswell, GA 30076-8635 | 2017-05-23 |
| 1972037323 | Alicia Anderson | Military Health Care Provider | 621 Mcgruder St. Ne, Atlanta, GA 30312 | 2017-04-12 |
| 1508227141 | Compassion Community PCh LLC | Military Health Care Provider | 1942 Appling Harlem Rd, Appling, GA 30802-3723 | 2016-03-09 |
| 1902243876 | Victor D Parker IIi | Military Health Care Provider | 78th Medical Group Sghc, 655 Seventh Street, Robins Afb, GA 31098 | 2013-05-31 |
| 1235575325 | Gerardo Julian Soracco | Military Health Care Provider | 4415 Northside Chase Nw, Atlanta, GA 30327-3567 | 2013-05-15 |
| 1790023406 | Donna Sue Muller | Military Health Care Provider | 2715 Cosmos Dr Ne, Atlanta, GA 30345-1307 | 2013-01-30 |
| 1316298144 | Sandra Diane Tyree | Military Health Care Provider | 6490 Clyattstone Rd, Hahira, GA 31632-3112 | 2012-09-19 |
| 1558643536 | Eleanor S. Lee | Military Health Care Provider | 4211 Misty Morning Way, #2319, Gainesville, GA 30506-4347 | 2011-09-15 |
| 1073754891 | James Mercer Archer | Military Health Care Provider | 2450 Ruger Dr Ne, Marietta, GA 30066-1422 | 2009-03-09 |
| 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.