EDNA M GONZALEZ


Address: 8865 W 400 N, #115, Michigan City, IN 46360-9222
Phone: 2198727268

EDNA M GONZALEZ (NPI# 1912290149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912290149
Entity Type Individual
Full Name EDNA M GONZALEZ
Practice Address 8865 W 400 N
#115
Michigan City
IN 46360-9222
Mailing Address 3120 Macon St
Portage
IN 46368-4522
Practice Telephone 2198727268
Practice Fax Number 2198722224
Mailing Telephone 2178727268
Mailing Fax Number 2198722224
Enumeration Date 2011-05-20
Last Update Date 2011-05-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 243U00000X Radiology Practitioner Assistant Technologists, Technicians & Other Technical Service Providers

Other Providers EDNA GONZALEZ

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1437525508 Edna Gonzalez Specialist/Technologist 2606 Lincoln Ave, Mission, TX 78574-0505 2015-08-12
1952468076 Edna I Gonzalez Speech-Language Pathologist Coop Ciudad Universitaria, 1 Periferal Ave. G002 A, Trujillo Alto, PR 00976-2125 2007-01-02
1871857961 Edna Gonzalez Counselor 1601 Ne 25th Ave, Ocala, FL 34470-8800 2012-07-03

Office Location

Street Address 8865 W 400 N
#115
City MICHIGAN CITY
State IN
Zip Code 46360-9222

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851378558 Douglas J Vanputten Ophthalmology 8865 W 400 N, Michigan City, IN 46360-9222 2005-12-23
1770972598 Vascular Interventions, LLC Surgery 8865 W 400 N, Suite 175, Michigan City, IN 46360-9222 2015-01-16
1104246412 James O. Hartson, Md, LLC Orthopaedic Surgery 8865 W 400 N, Michigan City, IN 46360-9222 2014-04-25
1609207323 Brittany C Hausmann Nurse Practitioner 8865 W 400 N, Suite 125, Michigan City, IN 46360-9222 2013-12-05
1750672820 Catherine Weber Radiology Practitioner Assistant 8865 W 400 N, #115, Michigan City, IN 46360-9222 2011-04-25
1013177864 Weninger Medical Corp Specialist 8865 W 400 N, Michigan City, IN 46360-9222 2008-06-16
1548439219 Douglas J Van Putten Md Facs Inc Ophthalmology 8865 W 400 N, Michigan City, IN 46360-9222 2008-02-26
1639364946 Woodland Wellness and Rehabilitation Clinic/Center 8865 W 400 N, Suite 122, Michigan City, IN 46360-9222 2007-09-10
1295957959 Woodland Pain Center Specialist 8865 W 400 N, Ste. 125, Michigan City, IN 46360-9222 2007-05-03
1609915503 Chad Alan Glazer Otolaryngology 8865 W 400 N, Suite 120, Michigan City, IN 46360-9222 2007-02-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821649096 Trinity Healthcare Inc. Occupational Therapist 4300 Cleveland Ave, Michigan City, IN 46360 2019-09-27
1861905499 Erika Leigh Maroon Chiropractor 8690 West Pahs Rd., Michigan City, IN 46360 2017-11-06
1750740650 Michelle Asbell Nurse Practitioner 301 Homer St, Michigan City, IN 46360 2016-02-19
1235523952 Marnee Flinn-smith Specialist/Technologist 8466 Pahs Rd, Michigan City, IN 46360 2015-03-19
1184976359 Kelly Stewart Physical Therapist 301 Homer Street, Michigan City, IN 46360 2012-10-11
1053660936 Planned Parenthood of Indiana Michigan City Clinic/Center 324 Dunes Plaza, Michigan City, IN 46360 2012-09-06
1114288644 June R. R. Nichols Ocularist, Ltd Durable Medical Equipment & Medical Supplies 450 St. John Road, Suite 396, Michigan City, IN 46360 2012-05-31
1083980858 Enoch Kassa Internal Medicine 3777 N Frontage Rd, Michigan City, IN 46360 2012-03-27
1760768196 American Limb & Orthopedic Company of Valparaiso Prosthetic/Orthotic Supplier 3777 N. Frontage Rd, Suite 100, Michigan City, IN 46360 2011-10-31
1801181144 Elizabeth A Whitaker Counselor 8733 W. 400 N., 400 North Medical Center, Michigan City, IN 46360 2011-06-15
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Taxonomy Information

Taxonomy Code 243U00000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiology Practitioner Assistant

Taxonomy Definition

A Radiology Practitioner Assistant (RPA) is a health professional certified as a registered radiographer with the American Registry of Radiologic Technologists (ARRT) and, in addition, is credentialed to provide primary radiology health care with radiologist supervision. Radiology Practitioner Assistants are qualified by graduation from an educational program recognized by the Board of Directors of athe Certification Board for Radiology Practitioner Assistants (CBRPA) and certified by the CBRPA. Within the Radiologist/RPA relationship, Radiology Practitioner Assistants exercise autonomy in decision making in the role of a primary caregiver with regard to patient assessment, patient management and in providing a broad range of radiology diagnostic and interventional services. The clinical role of the Radiology Practitioner Assistant includes primary and specialty care in radiology practice settings in rural and urban areas.
Notes: Source: Certification Board of Radiology Practitioner Assistants [7/1/2008: new] Additional Resources: www.cbrpa.org

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750672820 Catherine Weber Radiology Practitioner Assistant 8865 W 400 N, #115, Michigan City, IN 46360-9222 2011-04-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1164895736 Heather Parker Radiology Practitioner Assistant 85 E Us-6 Frontage Road, Valparaiso, IN 46383 2015-11-04
1215546791 Edra Burris Radiology Practitioner Assistant 1606 N 7th St, Terre Haute, IN 47804-2706 2020-07-30
1982269544 Katie R Guntle Radiology Practitioner Assistant 7340 Shadeland Sta Ste 200, Indianapolis, IN 46256-3980 2019-05-08
1447724919 Patrick M Mcguire Radiology Practitioner Assistant 7340 Shadeland Sta Ste 200, Indianapolis, IN 46256-3980 2019-01-17
1447724018 Rebecca D Flowers Radiology Practitioner Assistant 7340 Shadeland Sta Ste 200, Indianapolis, IN 46256-3980 2019-01-17
1104390673 Caitlin R Spall Radiology Practitioner Assistant 7340 Shadeland Sta Ste 200, Indianapolis, IN 46256-3980 2019-01-17
1679072565 Cindy Petree Radiology Practitioner Assistant 7340 Shadeland Sta Ste 200, Indianapolis, IN 46256 2018-02-06
1003281262 Joshua Mcalister Radiology Practitioner Assistant 714 N Senate Ave Ste 100, Indianapolis, IN 46202-3297 2015-12-14
1891186763 Michael D Bortone Radiology Practitioner Assistant 714 N Senate Ave, Suite 100, Indianapolis, IN 46202-3763 2015-02-12
1801293048 Heather Craigen Radiology Practitioner Assistant 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 2014-12-03
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Competitor

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City MICHIGAN CITY
Zip Code 46360

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Dataset Information

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.

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