Active NPI
Carmen Laura Gonzalez, M.D.
- Pulmonary Disease Physician
- Fishersville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 0101039166
- Practice address
- 78 Medical Center Drive
Heart & Vascular Center, FLR 2
Fishersville, VA 22939 - Phone
- (540) 245-7190
- Fax
- (540) 245-7191
- NPI assigned
- Apr 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | M-10202 | ID | |
| Pulmonary Disease Physician | 207RP1001X | 0101039166 | VA | Primary |
Addresses
Primary practice location
78 Medical Center Drive
Heart & Vascular Center, FLR 2
Fishersville, VA 22939
Mailing address
PO Box 388
Fishersville, VA 22939-0388
Phone (540) 245-7190
Other practice location 1
777 Hospital Way
Bldg A Suite 202
Pocatello, ID 83201-5175
Phone (208) 239-2640
Other practice location 2
777 Hospital Way
Bldg A Suite 202
Pocatello, ID 83201-5175
Phone (208) 239-2640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Eastern Virginia Medical School, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3518 Drawbridge Pkwy
Suite 220
Greensboro, NC 27410-8432
Phone (336) 890-3072
520 N Elam Ave
Greensboro, NC 27403-1127
Phone (336) 547-1700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-10202 | ID | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Moses H. Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| The Moses H Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| Moses Cone Medical Services, Inc. | Pulmonary Disease | Current | Accepting new patients |
| The Moses H Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| Moses Cone Medical Services, Inc. | Current | Accepting new patients |
Locations
300 E Wendover Ave
Greensboro, NC 27401
Phone (336) 663-5205
3511 W Market St
Greensboro, NC 27403
Phone (336) 522-8999
1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700
509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970
3518 Drawbridge Pkwy
Ste 220
Greensboro, NC 27410
Phone (336) 890-3020
520 N Elam Ave
Greensboro, NC 27403
Phone (336) 475-7148
2400 W Friendly Ave
Greensboro, NC 27403
Phone (336) 832-1100
940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848
Interoperability endpoints
- cgonzalez474904@direct.conehealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1427095249
Pulmonary Disease
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1013265909
-
- Family Medicine Physician
- Madison, NC
- NPI 1629376363
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1356372064
-
- Community/Retail Pharmacy
- Eden, NC
- NPI 1861222507
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burlington, NC
- NPI 1326010273
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1245294610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 388",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "229390388",
"telephone_number": "540-245-7190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 MEDICAL CENTER DRIVE",
"address_2": "HEART & VASCULAR CENTER, FLR 2",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "22939",
"telephone_number": "540-245-7190",
"fax_number": "540-245-7191"
}
],
"practiceLocations": [
{
"address_1": "777 Hospital Way",
"address_2": "Bldg A Suite 202",
"address_purpose": "LOCATION",
"city": "Pocatello",
"state": "ID",
"postal_code": "832015175",
"country_code": "US",
"telephone_number": "208-239-2640",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "777 Hospital Way",
"address_2": "Bldg A Suite 202",
"address_purpose": "LOCATION",
"city": "Pocatello",
"state": "ID",
"postal_code": "832015175",
"country_code": "US",
"telephone_number": "208-239-2640",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "CARMEN",
"middle_name": "LAURA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-13",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "ID",
"license": "M-10202",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "VA",
"license": "0101039166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fishersville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.