Jose L Gonzalez (NPI# 1477714335, PAC ID# 5890964407) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1477714335 |
| PAC ID by PECOS | 5890964407 |
| Professional Enrollment ID | I20110816000002 |
| Full Name | Jose L Gonzalez |
| Organization Legal Name | PRISMA HEALTH MIDLANDS |
| Address |
1330 Taylor At Marion St Suite 100 Columbia SC 29201-3310 |
| Phone Number | 8034346410 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 6800708330 |
| Number of Group Practice Members | 184 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420026 | PROVIDENCE HEALTH |
| 420086 | PALMETTO HEALTH BAPTIST |
| 420106 | PALMETTO HEALTH BAPTIST PARKRIDGE |
| Address | Phone | Organization |
|---|---|---|
| 1330 Taylor At Marion St, Suite 100, Columbia, SC 29201-3310 | 8034346410 | PRISMA HEALTH MIDLANDS |
| 14 Medical Park Rd, Suite 350, Columbia, SC 29203 | 8032962548 | PRISMA HEALTH MIDLANDS |
| 2435 Forest Dr, Columbia, SC 29204-2026 | 7708746859 | BROAD RIVER PHYSICIANS GROUP, LLC |
| 400 Palmetto Health Pkwy, Columbia, SC 29212-1760 | 8032962548 | PRISMA HEALTH MIDLANDS |
| Organization Legal Name | PRISMA HEALTH MIDLANDS |
| Physicians | 130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard S Toman | Certified Registered Nurse Anesthetist (crna) | Prisma Health Midlands | 5 Medical Park, Columbia, SC 29203-6963 |
| Zachary Logan Hardy | Emergency Medicine | Prisma Health Midlands | 14 Medical Park Rd, Suite 350, Columbia, SC 29203 |
| Jessica C Bradley | Certified Registered Nurse Anesthetist (crna) | Prisma Health Midlands | 3301 Harden St Ext, 5 Medical Park, Columbia, SC 29203-6813 |
| Hilary T Frick | Certified Registered Nurse Anesthetist (crna) | Prisma Health Midlands | 400 Palmetto Health Pkwy, Suite 2137, Columbia, SC 29212-1760 |
| Paul D Street | Certified Registered Nurse Anesthetist (crna) | Prisma Health Midlands | 5 Richland Medical Park Dr, Suite 470, Columbia, SC 29203-6863 |
| Erich Reed Starn | Certified Registered Nurse Anesthetist (crna) | Prisma Health Midlands | 1330 Taylor At Marion St, Columbia, SC 29220-0002 |
| Candance A Aguiar | Certified Registered Nurse Anesthetist (crna) | Prisma Health Midlands | 400 Palmetto Health Pkwy, Columbia, SC 29212-1760 |
| Amanda D Moore | Certified Registered Nurse Anesthetist (crna) | Prisma Health Midlands | 1330 Taylor At Marion St, Columbia, SC 29220-0002 |
| Holly Hollis | Certified Registered Nurse Anesthetist (crna) | Prisma Health Midlands | 5 Richland Medical Park Dr, Suite 470, Columbia, SC 29203-6863 |
| Elena A Gonzalez | Certified Registered Nurse Anesthetist (crna) | Prisma Health Midlands | 5 Richland Medical Park Dr, Suite 470, Columbia, SC 29203-6863 |
| Street Address |
1330 TAYLOR AT MARION ST SUITE 100 |
| City | COLUMBIA |
| State | SC |
| Zip | 29201-3310 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erich Reed Starn | Certified Registered Nurse Anesthetist (crna) | Prisma Health Midlands | 1330 Taylor At Marion St, Columbia, SC 29220-0002 |
| Amanda D Moore | Certified Registered Nurse Anesthetist (crna) | Prisma Health Midlands | 1330 Taylor At Marion St, Columbia, SC 29220-0002 |
| Jeffrey M Scoggin | Certified Registered Nurse Anesthetist (crna) | Prisma Health Midlands | 1330 Taylor At Marion St, Columbia, SC 29220-0002 |
| Noreen Lyday Dudley | Certified Registered Nurse Anesthetist (crna) | Prisma Health Midlands | 1330 Taylor At Marion St, Columbia, SC 29220-0002 |
| Lauren E Mitchell | Certified Registered Nurse Anesthetist (crna) | Prisma Health Midlands | 1330 Taylor At Marion St, Columbia, SC 29220-0002 |
| Catherine B Rhea | Certified Registered Nurse Anesthetist (crna) | Prisma Health Midlands | 1330 Taylor At Marion St, Columbia, SC 29220-0002 |
| Lauren E Prickett | Certified Registered Nurse Anesthetist (crna) | Prisma Health Midlands | 1330 Taylor At Marion St, Columbia, SC 29220-0002 |
| Jeter Pritchard Taylor | Emergency Medicine | Prisma Health Midlands | 1330 Taylor At Marion St, Suite 100, Columbia, SC 29201-3310 |
| Spencer F Robinson Jr. | Emergency Medicine | Prisma Health Midlands | 1330 Taylor At Marion St, Suite 100, Columbia, SC 29201-3310 |
| John Heath Martin | Certified Registered Nurse Anesthetist (crna) | Prisma Health Midlands | 1330 Taylor At Marion St, Columbia, SC 29220-0002 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Burguieres | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Aleta Marie Mcgough | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Elizabeth L Baker | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Katelin J Williamson | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Emily Jones Cullen | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Lisa A Cometto | Nurse Practitioner | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Dale Eugene Marko | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Eric Karl Winter | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Amy Eileen Jones | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Sarah S Kuhn | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Find all physicians in zip 29201 | |||
| City | COLUMBIA |
| Zip Code | 29201 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | COLUMBIA + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Jose L Gonzalez.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.