Active NPI
M Francisco Gonzalez, MD, PA
- Hematology & Oncology Physician
- Sumter, SC
National Provider Identifier
1073623674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 9747
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP3381 | Medicaid | SC | |
| 8579 | Other | SC | MEDICARE GROUP PIN |
| GP4045 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Sumter, SC
- NPI 1700391430
-
- Nephrology Physician
- Sumter, SC
- NPI 1376636969
-
- Family Nurse Practitioner
- Sumter, SC
- NPI 1962549899
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.