Kathy R. Gonzalez O.D. L.L.C.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

KATHY R. GONZALEZ O.D. L.L.C.

Practice address

14894 N State Ave
Middlefield, OH 44062-9724

Phone

(440) 632-1695

NPI assigned

Nov 9, 2018

Organization subpart

No

Name

Dr. Kathy R Gonzalez, OD

Title

Owner

Phone

(330) 348-9998

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 9, 2018.

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541721600000",
    "number": "1326516196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9813 FIRESTONE LN",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440561544",
            "telephone_number": "330-348-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14894 N STATE AVE",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "440629724",
            "telephone_number": "440-632-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHY R. GONZALEZ O.D. L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-09",
        "last_updated": "2018-11-09",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-348-9998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Jacobs
• Jon J Floriano, MD, LLC
• Sylvia K Jurcak, OTR/L
• Edward Kamensky, RPH
• Richard Robert Karges, LISW-S
• Amy J Katz, RPH
• Kelly Katherine Kiss-Jagoda
• Amber L Kokal, M.S.
• Marian Korosec, M.D.
• Christopher James Kortan

• All providers in Middlefield, OH
• Health Service Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; 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.