FERNANDO GONZALEZ (NPI# 1912223025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912223025 |
| Entity Type | Individual |
| Full Name | FERNANDO GONZALEZ |
| Credential | MD |
| Practice Address |
111 Maltese Dr Middletown NY 10940-2115 |
| Practice Telephone | 8453424774 |
| Practice Fax Number | 8453438741 |
| Mailing Telephone | 8453424774 |
| Mailing Fax Number | 8453438741 |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2011-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
263083 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE | A400057668 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891273900 | Fernando Gonzalez IIi | Social Worker | 1840 Oak Ave Ste 320, Evanston, IL 60201-3680 | 2018-07-31 |
| 1568988848 | Fernando Garcia Gonzalez | Chiropractor | 8101 Airport Blvd Ste A, Houston, TX 77061-4138 | 2017-08-17 |
| 1215100250 | Fernando Luis Gonzalez | Personal Emergency Response Attendant | 167 Calle Mimosa, Santa Maria, San Juan, PR 00927-6215 | 2008-04-10 |
| 1912026972 | Fernando Gonzalez | Pharmacist | 2472 Flatbush Ave, Brooklyn, NY 11234-5045 | 2007-03-28 |
| 1700942018 | Fernando Gonzalez | Pharmacy Technician | Carr 348 Km 5.2, Bo Malesa, Mayaguez, PR 00680 | 2006-12-29 |
| 1043239619 | Fernando Francisco Gonzalez | Pediatrics | 501 Parnassus Ave, San Francisco, CA 94143-2208 | 2006-07-18 |
| 1750324778 | Fernando Gonzalez Jr. | Counselor | 9150 Huebner Rd., #210, San Antonio, TX 78240 | 2006-06-14 |
| 1558352609 | Fernando Luis Gonzalez | Urology | 1000 Health Center Dr Ste 305, Mattoon, IL 61938 | 2005-10-28 |
| 1568680775 | Fernando Gonzalez | Psychiatry & Neurology | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2007-04-23 |
| 1851433312 | Fernando Gonzalez | Clinical Neuropsychologist | 7601 Imperial Hwy, Harriman Building 226, Downey, CA 90242-3456 | 2007-02-13 |
| Street Address |
111 MALTESE DR |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10940-2115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396744892 | Stanley C. Giudici | Psychiatry & Neurology | 111 Maltese Dr, Middletown, NY 10940-2115 | 2005-07-18 |
| 1396342648 | Mckinnley Conklin | Physician Assistant | 111 Maltese Dr, Middletown, NY 10940-2115 | 2020-10-08 |
| 1548884794 | Maria Pryluck | Nurse Practitioner | 111 Maltese Dr, Middletown, NY 10940-2141 | 2020-06-03 |
| 1407480551 | Kellie Cummings | Physician Assistant | 111 Maltese Dr, Middletown, NY 10940-2141 | 2020-02-27 |
| 1952944308 | Thomas C Macpherson | Physician Assistant | 111 Maltese Dr, Middletown, NY 10940-2141 | 2019-10-17 |
| 1801447313 | Elvira Sahmanovic | Nurse Practitioner | 111 Maltese Dr, Middletown, NY 10940-2141 | 2019-09-25 |
| 1225688799 | Sandra Binkowski | Nurse Practitioner | 111 Maltese Dr, Middletown, NY 10940-2141 | 2019-09-17 |
| 1174178222 | Elizabeth Jahn | Nurse Practitioner | 111 Maltese Dr, Middletown, NY 10940-2115 | 2019-08-06 |
| 1194378554 | Christine Louise Straessle | Nurse Practitioner | 111 Maltese Dr, Middletown, NY 10940-2141 | 2019-07-24 |
| 1508426198 | Jillian Ann Carlstrom | Physician Assistant | 111 Maltese Dr, Middletown, NY 10940-2141 | 2019-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043135 | Sherell Rebecca Hassell-robinson | Social Worker | 1 Echo Hills Road, Middletown, NY 10940 | 2020-11-06 |
| 1144821927 | Fred Allen Mccormack | Social Worker | 210 East Main St Suite 105, Middletown, NY 10940 | 2020-11-06 |
| 1609484567 | Gen Med Inc | Anesthesiology | 253 Route 211 East, 2nd Floor, Middletown, NY 10940 | 2020-07-16 |
| 1366067092 | Kalyn Ruscher | Counselor | 303 5th Ave 14 Fl, Suite 1410, New York, NY 10940 | 2020-06-09 |
| 1780238220 | Angela Mayo | Social Worker | 24 Union Street, Middletown, NY 10940 | 2019-08-01 |
| 1215593611 | Northern Medical Center, Inc | Family Medicine | 14 Jason Place, Suite 201, Middletown, NY 10940 | 2019-05-13 |
| 1811468267 | Diana Katzenberger | Licensed Practical Nurse | 774 Kurbytuwn Rd, Middletown, NY 10940 | 2018-12-11 |
| 1881165330 | Chereen Madden-grant | Registered Nurse | 1028 Route 211 W, Middletown, NY 10940 | 2018-12-10 |
| 1184106361 | Clarise Denise Williams | Social Worker | 210 E Main St Suite 105, Middletown, NY 10940 | 2018-09-04 |
| 1194210963 | Damon Tremayne Swinea | Social Worker | 16-24 Union St., Middletown, NY 10940 | 2018-06-25 |
| Find all providers in zip 10940 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588183008 | Mmiddletown Interventional Pain Management, P.C. | Pain Medicine | Middletown Interventional Pain Management, P.C., 400 Route 211 East Suite 12, Middletown, NY 10940-2123 | 2017-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528617917 | New York Pain Consultants LLC | Pain Medicine | 550 Mamaroneck Ave Ste 503, Harrison, NY 10528-1609 | 2019-09-09 |
| 1528553559 | Surgical Pain Center of The Adirondacks, LLC | Pain Medicine | 470 Tom Miller Rd, Plattsburgh, NY 12901-6432 | 2018-06-22 |
| 1922509769 | Bl Pain Management Pllc | Pain Medicine | 9618 63rd Dr Ste 202, Rego Park, NY 11374-2239 | 2018-02-27 |
| 1861918781 | New York Pain Consultants LLC | Pain Medicine | 115 E 57th St Ste 610, New York, NY 10022-2129 | 2017-08-22 |
| 1689031577 | Eighth Avenue Medical, Pllc | Pain Medicine | 839 57th St Fl 1, Brooklyn, NY 11220-6851 | 2016-01-22 |
| 1437556040 | New York Pain Consultants, LLC | Pain Medicine | 8 Saxon Ave Ste E, Bay Shore, NY 11706-7036 | 2014-11-25 |
| 1801200423 | Ayesha Hameed | Pain Medicine | 1111 Broadhollow Rd Ste 114, Farmingdale, NY 11735 | 2014-06-12 |
| 1285973438 | Irfan A Alladin, Md PC | Pain Medicine | 2901 Bayview Ave, Baldwin, NY 11510-4451 | 2013-02-07 |
| 1336490663 | Bhupinder Singh Bolla Md Pllc | Pain Medicine | 107 Court St, Watertown, NY 13601-2534 | 2012-09-26 |
| 1437410024 | Vasilios Kountis | Pain Medicine | 1317 3rd Ave Fl 7, New York, NY 10021 | 2012-05-31 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLETOWN |
| Zip Code | 10940 |
Please comment or provide details below to improve the information on FERNANDO 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.