Chad M Gonzales MD PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

4825699-1205 Issued in UT

Legal business name

CHAD M GONZALES MD PC

Practice address

4403 Harrison Blvd
Suite 2855
Ogden, UT 84403-3271

Phone

(801) 387-2550

Fax

(801) 387-2555

NPI assigned

Mar 9, 2007

Last updated

Oct 30, 2007By 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

Chad M Gonzales, M.D.NPI 1669447801

Title

Owner

Phone

(801) 387-2550

Specialties & licenses 1

Addresses

Other identifiers 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.

• Chad Michael Gonzales, M.D.

  • Gastroenterology Physician
  • Ogden, UT
  • NPI 1669447801
  Authorized official Same address or phone

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1235261025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 HARRISON BLVD",
            "address_2": "SUITE 2855",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033271",
            "telephone_number": "801-387-2550",
            "fax_number": "801-387-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 HARRISON BLVD",
            "address_2": "SUITE 2855",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033271",
            "telephone_number": "801-387-2550",
            "fax_number": "801-387-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD M GONZALES MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-387-2550",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "UT",
            "license": "4825699-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD5804",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cedar City Radiology LLC
• Kiralei Celestino
• Claudia Fabiola Celis, DNP
• Chelsea Brooke Cervinski, RN
• Kaylie Cevering
• Kevin S Chadburn, ARNP
• Torin Chadburn
• Amandeep Singh Chadha, MD
• Sean Yarden Chady
• Michael S. Chamberlain, MD

• Gastroenterology Physician in Ogden, UT
• Providers in Ogden, UT by specialty
• Gastroenterology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.