Active NPI
Manuel F Gonzalez, M.D
- Specialist
- Sumter, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 9747
- Practice address
- 115 N Sumter St
Suite 305
Sumter, SC 29150-4972 - Phone
- (803) 934-8348
- Fax
- (803) 934-8349
- NPI assigned
- Nov 25, 2005
- Last updated
- May 27, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 9747 | SC | Primary |
| Hematology & Oncology Physician | 207RH0003X | 9747 | SC |
Addresses
Primary practice location
115 N Sumter St
Suite 305
Sumter, SC 29150-4972
Mailing address
115 N Sumter St
Suite 305
Sumter, SC 29150-4972
Phone (803) 934-8348
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP4045 | Medicaid | SC | |
| GP3381 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3 Medical CT
Sumter, SC 29150-4760
Phone (803) 934-8348
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9747 | SC | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M Francisco Gonzalez, MD, PA | Hematology & Oncology | Current | Accepting new patients |
| Carolina Family Care, Inc | Current | Accepting new patients | |
| Carolina Family Care, Inc | Hematology & Oncology | Current | Accepting new patients |
| Sumter Nephrology LLC | Current | Accepting new patients | |
| Department of Internal Medicine | Past | Accepting new patients | |
| Santee Hematology Oncology Inc | Hematology & Oncology | Past | Accepting new patients |
Locations
1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175
115 N Sumter St
Sumter, SC 29150
Phone (803) 774-9797
115 N Sumter St
Ste 305
Sumter, SC 29150
Phone (803) 934-8348
3 Medical Ct
Sumter, SC 29150
Phone (803) 934-8348
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MUSC Physicians PCP
- Family Medicine Physician
- Charleston, SC
- NPI 1184655722
-
- Hematology & Oncology Physician
- Sumter, SC
- NPI 1073623674
-
dba MUSC Physicians PC
- Internal Medicine Physician
- Lancaster, SC
- NPI 1275564098
Hematology & Oncology
-
- Nephrology Physician
- Sumter, SC
- NPI 1306280698
-
- Internal Medicine Physician
- Columbia, SC
- NPI 1144258922
-
- Hematology & Oncology Physician
- Sumter, SC
- NPI 1912944679
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Manning, SC
- NPI 1205284411
-
dba Prisma Health Tuomey Hosptial
- General Acute Care Hospital
- Sumter, SC
- NPI 1326043548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401148800000",
"number": "1073596813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 N SUMTER ST",
"address_2": "SUITE 305",
"city": "SUMTER",
"state": "SC",
"postal_code": "291504972",
"telephone_number": "803-934-8348",
"fax_number": "803-934-8349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 N SUMTER ST",
"address_2": "SUITE 305",
"city": "SUMTER",
"state": "SC",
"postal_code": "291504972",
"telephone_number": "803-934-8348",
"fax_number": "803-934-8349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "MANUEL",
"middle_name": "F",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-25",
"last_updated": "2014-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "SC",
"license": "9747",
"primary": true
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "SC",
"license": "9747",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP4045",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP3381",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.