Esther Gonzalez, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME0073786 Issued in FL

Practice address

3700 W Sovereign Path
Lecanto, FL 34461-8071

Phone

(352) 527-0068

Fax

(352) 795-7883

NPI assigned

Feb 22, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114992112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 N BATH PT",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344298706",
            "telephone_number": "352-795-5774",
            "fax_number": "352-795-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W SOVEREIGN PATH",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344618071",
            "telephone_number": "352-527-0068",
            "fax_number": "352-795-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ESTHER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0073786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254093200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ME0073786",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shyamala Ganti, MD
• Alexis Garcia, OTR/L
• Zeina Georges, MD
• Karen Gidden, R.D., L.D., C.L.C.
• Annalisia Giddens, APRN
• Raquel Gonzalez, R.D.H
• Teresa L Goodman, ARNP
• Goodpeace Solutions, LLC
• Gopal Tatambhotla MD PA
• Robert B Grabowski, MD

• Pediatrics Physician in Lecanto, FL
• Providers in Lecanto, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.