AMY BREEDLOVE GONZALES (NPI# 1780791392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780791392 |
Entity Type | Individual |
Full Name | AMY BREEDLOVE GONZALES |
Credential | PA-C |
Practice Address |
1500 Citywest Blvd Ste 300 Houston TX 77042 |
Mailing Address |
Po Box 840853 Dallas TX 75284-0853 |
Practice Telephone | 7136204000 |
Practice Fax Number | 7134584229 |
Mailing Telephone | 7136204000 |
Mailing Fax Number | 7134584229 |
Enumeration Date | 2006-08-23 |
Last Update Date | 2018-05-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PA00658 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 307772901 | 05 | |
TX | 307772902 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
2501 W William Cannon Dr Ste 401, Austin, TX 787455278 | 5124167246 | 5122752833 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376189399 | Amy Gonzales | Counselor | 9521 Green Jay, Harlingen, TX 78552-6728 | 2019-11-25 |
1013454552 | Amy Gonzales | Physical Therapist | 3229 Avenida De Sueno, Carlsbad, CA 92009-9538 | 2017-01-23 |
1457746232 | Amy Johnson Gonzales | Obstetrics & Gynecology | 11212 State Highway 151 Medical Plaza 2, Suite 350, San Antonio, TX 78251 | 2015-03-30 |
1881831972 | Amy Gonzales | Physician Assistant | 10 Page Dr, Pinehurst, NC 28374-8848 | 2009-01-12 |
1851883870 | Amy Gonzales | Registered Nurse | 3201 Cherry Ridge St Ste D400, San Antonio, TX 78230-4820 | 2018-06-05 |
1578974002 | Amy Gonzales | Family Medicine | 13670 Walsingham Rd, Largo, FL 33774-3532 | 2014-05-19 |
1669536744 | Amy J Gonzales | Genetic Counselor, MS | 1229 Madison St, Ste 750, Seattle, WA 98104-3586 | 2006-12-21 |
Street Address |
1500 CITYWEST BLVD STE 300 |
City | HOUSTON |
State | TX |
Zip Code | 77042 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568465763 | Brannon Frank | Anesthesiology | 1500 Citywest Blvd Ste 300, Houston, TX 77042 | 2005-05-23 |
1992310981 | Oluwatumininu M Oduntan | Anesthesiologist Assistant | 1500 Citywest Blvd Ste 300, Houston, TX 77042-2549 | 2020-09-15 |
1659985919 | Adam Conlon | Student in an Organized Health Care Education/Training Program | 1500 Citywest Blvd Ste 300, Houston, TX 77042-2549 | 2020-09-03 |
1477164358 | Jonathan Bryan Lindstrom | Nurse Anesthetist, Certified Registered | 1500 Citywest Blvd Ste 300, Houston, TX 77042-2549 | 2020-08-13 |
1740891043 | Ronda Janelle Lightfoot | Student in an Organized Health Care Education/Training Program | 1500 Citywest Blvd Ste 300, Houston, TX 77042-2549 | 2020-08-11 |
1083223721 | Rumana Hossain Seth | Registered Nurse | 1500 Citywest Blvd Ste 300, Houston, TX 77042-2549 | 2020-07-29 |
1033737614 | Ammar Qadir Ismail | Student in an Organized Health Care Education/Training Program | 1500 Citywest Blvd Ste 300, Houston, TX 77042-2549 | 2020-07-09 |
1619594884 | Adriana Corinne Montoya | Nurse Anesthetist, Certified Registered | 1500 Citywest Blvd Ste 300, Houston, TX 77042-2549 | 2020-07-02 |
1003432162 | Rushi Dilip Brahmbhatt | Nurse Anesthetist, Certified Registered | 1500 Citywest Blvd Ste 300, Houston, TX 77042-2549 | 2020-06-24 |
1659996932 | Emmanuel Timilehin Okeremgbo | Nurse Anesthetist, Certified Registered | 1500 Citywest Blvd Ste 300, Houston, TX 77042-2549 | 2020-06-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942823208 | Carlton Petties II | Registered Nurse | 2424 Willcrest Drive, 110, Houston, TX 77042 | 2020-05-21 |
1922566645 | Crystal Ann White | Registered Nurse | 2424 Wildcrest Suite 110, Houston, TX 77042 | 2019-03-12 |
1558825158 | Egheosemene Ebadan | Registered Nurse | 2424 Wilcrest Drive, Suite 110, Houston, TX 77042 | 2019-01-28 |
1225510670 | Adiba Maureen Agbu | Registered Nurse | 2424 Wilcrest Drive 110, Houston, TX 77042 | 2018-09-02 |
1023590460 | Ashlyn Nicole Parks | Licensed Vocational Nurse | 110, 2424 Wilcrest Dr, Houston, TX 77042 | 2018-09-01 |
1497250757 | Westchase Emergency Center, LLC | Emergency Medicine | 11103 Westheimer Rd, Houston, TX 77042 | 2018-03-28 |
1194225011 | Delores Sublett | Registered Nurse | 9797 Meadowglen 1013, Houston, TX 77042 | 2018-02-16 |
1073012068 | Brandon C. Cervantes | Nurse Anesthetist, Certified Registered | 1500 Citywest Blvd. Ste. 300, Houston, TX 77042 | 2018-02-06 |
1851805782 | Ideal Dental of Westchase Pllc | Dentist | 2550 Citywest Blvd, Suite 300, Houston, TX 77042 | 2017-11-30 |
1851814131 | Elizabeth Kaluanya | Nurse Practitioner | 9850 Meadowglen Ln Apt 142, Houston, TX 77042 | 2017-07-19 |
Find all providers in zip 77042 |
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 |
---|---|---|---|---|
1396345443 | Avery Rhodes Schwartz | Physician Assistant | 2206 Latexo Dr, Houston, TX 77018-1717 | 2020-10-28 |
1881291938 | Christine Nicole Nott | Physician Assistant | 13325 Hargrave Rd # 240, Houston, TX 77070-4539 | 2020-10-01 |
1306453659 | Christine Michelle Serewis - Pond | Physician Assistant | 950 Threadneedle St # 282, Houston, TX 77079-2925 | 2020-09-29 |
1902412828 | Chen-ho Yang | Physician Assistant | 1818 Memorial Dr Ste 200, Houston, TX 77007-8383 | 2020-09-16 |
1437769833 | Aviva Tziporah Rogozen | Physician Assistant | 4550 N Braeswood Blvd Apt 331, Houston, TX 77096-2883 | 2020-07-31 |
1417575671 | Harmeet Kaur | Physician Assistant | 9601 Jones Rd Ste 238, Houston, TX 77065-4774 | 2020-07-13 |
1780201939 | Evelyn Oliva | Physician Assistant | 4943 Brenner St, Houston, TX 77022-2536 | 2020-07-02 |
1093330722 | Stephanie Kochuparambil | Physician Assistant | 2630 Bissonnet St Apt 5213, Houston, TX 77005-1571 | 2020-06-09 |
1376171587 | Samad Syed Ali | Physician Assistant | 12702 Morning Glory Meadow Ln, Houston, TX 77089-1551 | 2020-04-01 |
1235765660 | Samantha Salcedo | Physician Assistant | 6651 Main St Ste 1420, Houston, TX 77030-2351 | 2020-03-17 |
Find all providers in HOUSTON |
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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.