Organization Active NPI

M Francisco Gonzalez, MD, PA

  • Hematology & Oncology Physician
  • Sumter, SC
National Provider Identifier
1073623674
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
9747 Issued in SC
Legal business name
M FRANCISCO GONZALEZ, MD, PA
Practice address
115 N Sumter St
Suite 305
Sumter, SC 29150-4972
Phone
(803) 934-8348
Fax
(803) 934-8349
NPI assigned
Aug 30, 2006
Last updated
Nov 8, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Mr. David Hobbs
Title
Practice Administrator
Phone
(803) 779-6610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 9747 SC Primary

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 3

IdentifierTypeStateIssuer
GP3381MedicaidSC
8579OtherSCMEDICARE GROUP PIN
GP4045MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061024000542 SC Part B Supplier - Clinic/Group Practice 0042217663 Receives reassigned benefits from 1 practitioner
Practice locations: Sumter, SC

National Provider Directory

National Provider Directory

Locations

115 N Sumter St
Ste 305
Sumter, SC 29150
Phone (803) 934-8348

3 Medical Ct
Sumter, SC 29150
Phone (803) 934-8348

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1073623674",
    "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": {
        "organization_name": "M FRANCISCO GONZALEZ, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "HOBBS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "803-779-6610",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "SC",
            "license": "9747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3381",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "8579",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4045",
            "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 Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.