Individual provider Active NPI

Christina Elizabeth Gonzalez, D.O.

  • Family Medicine Physician
  • El Dorado, KS
National Provider Identifier
1043573975
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9407930 Issued in KS
Practice address
700 W Central Ave
Suite 200
El Dorado, KS 67042-2184
Phone
(316) 320-9191
Fax
(316) 320-2220
NPI assigned
Jun 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9407930 KS Primary

Addresses

Primary practice location

700 W Central Ave
Suite 200
El Dorado, KS 67042-2184

Mailing address

700 W Central Ave
Suite 200
El Dorado, KS 67042-2184
Phone (316) 320-9191

Other names 1

  • Christine Elizabeth Taormina Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160118000838 KS Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 4284881764 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
9407930KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson County Hospital CurrentSince Dec 1, 2022 Accepting new patients
Wilson County Hospital CurrentSince Dec 1, 2022 Accepting new patients

Locations

1415 N Pennsylvania Ave
Independence, KS 67301
Phone (620) 325-5439

2600 Ottawa Rd
Neodesha, KS 66757
Phone (620) 325-2611

2600 Ottawa Rd
Ste 101
Neodesha, KS 66757
Phone (620) 325-2500

Interoperability endpoints

  • Direct secure messaging: christina.gonzalez.1@13372.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1043573975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W CENTRAL AVE",
            "address_2": "SUITE 200",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670422184",
            "telephone_number": "316-320-9191",
            "fax_number": "316-320-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W CENTRAL AVE",
            "address_2": "SUITE 200",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670422184",
            "telephone_number": "316-320-9191",
            "fax_number": "316-320-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "CHRISTINA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-15",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "9407930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "TAORMINA",
            "middle_name": "ELIZABETH",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Dorado, KS

Sources for this page

Verify at the official NPI Registry.