MR. LAZARO GONZALES (NPI# 1780783340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780783340 |
Entity Type | Individual |
Full Name | MR. LAZARO GONZALES |
Credential | PAC |
Practice Address |
1011 Honor Heights Dr Muskogee OK 74401-1318 |
Practice Telephone | 9186833261 |
Enumeration Date | 2006-09-21 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760711352 | Lazaro Gonzales Jr. | Physician Assistant | Dumc 3807, Durham, NC 27710-0001 | 2009-12-10 |
Street Address |
1011 HONOR HEIGHTS DR |
City | MUSKOGEE |
State | OK |
Zip Code | 74401-1318 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366440703 | Marsha Lynn Bunney | Clinical Nurse Specialist | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2005-07-11 |
1750995585 | James Jorgensen | Registered Nurse | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2020-08-31 |
1619599958 | Jonathan Lurz | Nurse Practitioner | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2020-05-09 |
1770104069 | Tyler Nelson | Optometrist | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2020-04-28 |
1093364366 | Tobi Michelle Poteete | Nurse Practitioner | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2019-09-09 |
1699320572 | Anson Graves | Respiratory Therapist, Certified | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2019-08-07 |
1447803713 | Sara Katelyn Dempster | Anesthesiology | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2019-07-16 |
1962054478 | Darren Eugene Richison | Nurse Practitioner | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2019-07-15 |
1437613890 | Kyle A Baer | Surgery | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2019-01-29 |
1588142988 | Brittni Kline | Clinical Nurse Specialist | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2018-07-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
Find all providers in zip 74401 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659503407 | Adam Oren Makin | Physician Assistant | 2525 Chandler Rd, Muskogee, OK 74403-5088 | 2009-08-12 |
1831156983 | Joseph S Bennett | Physician Assistant | 615 S 32nd St, Muskogee, OK 74401-5012 | 2006-05-01 |
1225015027 | Roger Alan Nevling | Physician Assistant | 350 S 40th St, Muskogee, OK 74401-4915 | 2005-12-22 |
1801437983 | Hannah Lea Apple | Physician Assistant | 201 N 32nd St, Muskogee, OK 74401-2104 | 2019-09-30 |
1578079950 | Catherine Falgout Wilcox | Physician Assistant | 1101 Honor Heights Dr, Muskogee, OK 74401-1302 | 2017-12-20 |
1336686492 | Jetta Ange | Physician Assistant | 619 N Main St, Building D, Muskogee, OK 74401-4431 | 2017-01-27 |
1538266556 | Tish K Williams | Physician Assistant | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2006-09-20 |
1801907191 | Karel Sue Mendenhall | Physician Assistant | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2006-08-31 |
1407960750 | Mary Gunn | Physician Assistant | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2006-08-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194326496 | Courtland Henderson | Physician Assistant | 2614 Wagon Trl, Enid, OK 73703-1630 | 2020-11-03 |
1013517168 | Madeleine Hill | Physician Assistant | 5304 N Hudson Ave, Oklahoma City, OK 73118-6232 | 2020-10-28 |
1851990097 | Lauren Heim | Physician Assistant | 7324 Bucks Xing, Edmond, OK 73034-3520 | 2020-10-19 |
1003414673 | Stephanie Ann Stephens | Physician Assistant | 5021 Eric Dr, Oklahoma City, OK 73135-4129 | 2020-10-15 |
1508464355 | Lauren Danielle Ukleya | Physician Assistant | 1315 Chisholm Trail Pkwy Ste A, Duncan, OK 73533-1544 | 2020-10-14 |
1598362964 | Madison Kitchens | Physician Assistant | 471688 Ok-51, Stilwell, OK 74960 | 2020-10-07 |
1689271041 | Maissa Baker Mitwalli | Physician Assistant | 700 S Desert Palm Ave, Broken Arrow, OK 74012-8815 | 2020-10-07 |
1730705229 | Jenna Specht | Physician Assistant | 2501 N 14th St, Ponca City, OK 74601-1734 | 2020-06-19 |
1477176147 | April Dawn Sullivan | Physician Assistant | 1111 Walnut Dr, Ardmore, OK 73401-2354 | 2020-05-28 |
1497384754 | Leah Cannady Hester | Physician Assistant | 3145 Midland Valley St, Norman, OK 73069-6970 | 2020-04-07 |
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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.