Conrado C Gonzalez Jr., MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

0101030838 Issued in VA

Practice address

6105 Health Center Lane
Fredericksburg, VA 22407

Phone

(540) 786-5262

Fax

(540) 786-5299

NPI assigned

Feb 8, 2006

Last updated

Apr 15, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Mary Washington Hospital Inc.

  • General Acute Care Hospital
  • Fredericksburg, VA
  • NPI 1942288527
  NPD (past)
• Radiation Oncology Specialists of Central Virginia PLC

  • Radiation Oncology Physician
  • Fredericksburg, VA
  • NPI 1831161843
  NPD (past)
• Virginia Radiation Therapy and Oncology

  dba Mid Rivers Cancer Center

  • Radiation Oncology Physician
  • Montross, VA
  • NPI 1043371057
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1083687479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31872",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232941872",
            "telephone_number": "804-266-8717",
            "fax_number": "804-266-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6105 HEALTH CENTER LANE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22407",
            "telephone_number": "540-786-5262",
            "fax_number": "540-786-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "CONRADO",
        "middle_name": "C",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "VA",
            "license": "0101030838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "226152",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1243459",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3367933",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "142595",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "396639",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5407494",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nagalatha Gollapalli, DDS
• Golver Dialysis LLC (Lee's Hill Dialysis)
• George Tendero Gonzales, MD
• Edith Socorro Gonzalez Jaimes, D.D.S.
• Irma Gonzalez Medrano, RBT
• Evan Gonzalez, PA-C
• Jonathan Kenneth Gonzalez, MD
• Luz Amalya Gonzalez, CSAC, RESIDENT IN CO
• Mkiyah Teleza Gonzalez, N.P
• Odalys Gonzalez, FNP

• Radiation Oncology Physician in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Radiation Oncology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.