Emily Socorro Gonzalez, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

908 Rockmoor Dr
Georgetown, TX 78628-8966

Phone

(512) 868-0901

NPI assigned

Mar 16, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: emily.gonzalez.1@27647.direct.athenahealth.com

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.

• Family Medical Center of Georgetown, PA

  • Family Medicine Physician
  • Georgetown, TX
  • NPI 1700946118
  Medicare reassignment

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1073198438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 ELKINGTON LOOP",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780458170",
            "telephone_number": "956-220-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 ROCKMOOR DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786288966",
            "telephone_number": "512-868-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "EMILY",
        "middle_name": "SOCORRO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Gonzales, LPC ASSOCIATE
• Kelly Marie Gonzales, DDS
• Marion Gonzales, RPH
• Michael Gonzales, FNP
• Olivia Danielle Gonzales, BSPH, CHW
• Jacqueline Gonzalez
• Jennifer Joy Gonzalez, MS, OTR
• Lynzy Ann Gonzalez, MA, CCC-SLP
• Lauren T Goodale, FNP-C
• Sheryl Anne Goodman, LPC

• Physician Assistant in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.