DR. ROBERTA B GONZALEZ (NPI# 1881655983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881655983 |
| Entity Type | Individual |
| Full Name | DR. ROBERTA B GONZALEZ |
| Credential | MD |
| Practice Address |
616 North St Suite 307 Jim Thorpe PA 18229-2125 |
| Practice Telephone | 5707320008 |
| Practice Fax Number | 5703250009 |
| Mailing Telephone | 5707320008 |
| Mailing Fax Number | 5703250009 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD008381E | PA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | VALUE OPTIONS ID# | 112722 | 01 |
| PA | BLUECROSS ID# | 02417500 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881069250 | Roberta Gonzalez | Radiologic Technologist | 4445 Willard Ave, Suite 200, Chevy Chase, MD 20815-3690 | 2015-12-10 |
| 1669819108 | Roberta Ann Gonzalez | Nurse Practitioner | 10555 Vista Del Sol Dr, Suite 200, El Paso, TX 79925-7942 | 2013-05-23 |
| 1801101936 | Roberta Joann Gonzalez | Nurse Practitioner | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2010-08-12 |
| Street Address |
616 NORTH ST SUITE 307 |
| City | JIM THORPE |
| State | PA |
| Zip Code | 18229-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891741187 | Wendy Ann Roth | Social Worker | 616 North St, Suite 304, Jim Thorpe, PA 18229-2125 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093083859 | Nancy M. Porambo | Massage Therapist | 616 Center Street, Jim Thorpe, PA 18229 | 2011-12-08 |
| 1407967987 | Carol Ann Kardisco | Social Worker | 27 W Sixth Street, Jim Thorpe, PA 18229 | 2006-08-31 |
| 1639199144 | Jim Thorpe Ems | Ambulance | 100 E 10th St, Jim Thorpe, PA 18229 | 2006-07-20 |
| 1871697573 | Jayendra C Patel | Dentist | 903 Center St, Jim Thorpe, PA 18229 | 2006-09-12 |
| 1568453652 | Nancy Leigh Dombrosky | Emergency Medical Technician, Paramedic | 1491 Center Ave, Jim Thorpe, PA 18229-1009 | 2005-10-29 |
| 1104802651 | Patrick J Hanley | Emergency Medicine | 1580 Center Ave, Jim Thorpe, PA 18229-1012 | 2005-12-16 |
| 1134240005 | Eileen P Connors | Nurse Practitioner | 1580 Center Ave, Jim Thorpe, PA 18229-1012 | 2007-04-02 |
| 1487773966 | Switchback Medical Center PC | Family Medicine | 1580 Center Ave, Jim Thorpe, PA 18229-1012 | 2007-03-28 |
| 1063554467 | Vanessa Rice | Family Medicine | 1580 Center Ave, Jim Thorpe, PA 18229-1012 | 2007-02-13 |
| 1154382604 | Deborah Ann Smith | Family Medicine | 1580 Center Ave, Jim Thorpe, PA 18229-1012 | 2006-03-31 |
| Find all providers in zip 18229 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346863909 | Courtney Romain-lopez | Specialist | 301 Lenape Trl, Allentown, PA 18104-8531 | 2020-05-18 |
| 1235751116 | Steven Charles Snyder | Specialist | 119 Boyd Hollow Ln, Spring Mills, PA 16875-7812 | 2020-05-13 |
| 1083236582 | Chelsea Meadows | Specialist | 693 Topaz Dr, Lancaster, PA 17603-5864 | 2020-05-07 |
| 1982224655 | Eric Rickin Md LLC | Specialist | 102 Lexington Ave Ste 2, Aspinwall, PA 15215-3257 | 2020-04-22 |
| 1134748510 | Beaver County Regenerative Wellness Centers PC | Specialist | 3582 Brodhead Rd Ste 108, Monaca, PA 15061-3142 | 2020-04-15 |
| 1780203414 | Essence Allen-presley | Specialist | 252 Melrose Ave, Lansdowne, PA 19050-2532 | 2020-04-13 |
| 1174156012 | Sade Yolanda Davis | Specialist | 2414 N Garnet St, Philadelphia, PA 19132-3725 | 2020-02-19 |
| 1487285094 | Kim O'toole | Specialist | 105 Hay Rd, Milford, PA 18337-9020 | 2020-02-01 |
| 1437789740 | Kate Beer | Specialist | 3357 W 43rd St, Erie, PA 16506-4233 | 2020-01-26 |
| 1346888690 | Colleen Ruddy | Specialist | 205 Glenburn Rd, Clarks Green, PA 18411-2534 | 2019-12-17 |
| Find all providers with the same taxonomy | ||||
| City | JIM THORPE |
| Zip Code | 18229 |
Please comment or provide details below to improve the information on DR. ROBERTA B GONZALEZ.
| 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.