Annette C. Gonsalves, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D19947 Issued in MD

Legal business name

ANNETTE C. GONSALVES, MD

Practice address

6 Post Office Rd
Suite 100
Waldorf, MD 20602-2746

Phone

(301) 843-0500

Fax

(301) 645-0041

NPI assigned

Apr 3, 2008

Last updated

Apr 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Annette C Gonsalves, M.D.NPI 1306910716

Title

Practice Owner

Phone

(301) 843-0500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

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.

• Annette Carey Gonsalves, MD

  • Internal Medicine Physician
  • Waldorf, MD
  • NPI 1306910716
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1184897738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 POST OFFICE RD",
            "address_2": "SUITE 100",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022746",
            "telephone_number": "301-843-0500",
            "fax_number": "301-645-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 POST OFFICE RD",
            "address_2": "SUITE 100",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022746",
            "telephone_number": "301-843-0500",
            "fax_number": "301-645-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNETTE C. GONSALVES, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "GONSALVES",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "301-843-0500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D19947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.