Mallory Gonzalez

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP019047 Issued in PA

Practice address

404 W Main St
Uniontown, PA 15401-2868

Phone

(724) 430-6200

NPI assigned

Aug 1, 2018

Last updated

Aug 1, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of Pittsburgh Physicians

  • Gastroenterology Physician
  • Pittsburgh, PA
  • NPI 1619935004
  Medicare reassignment NPD
• Advanced Women's Care of Pittsburgh, P.C.

  • Obstetrics & Gynecology Physician
  • McMurray, PA
  • NPI 1265574925
  Medicare reassignment
• University of Pittsburgh Physicians

  • Obstetrics & Gynecology Physician
  • Pittsburgh, PA
  • NPI 1134187834
  NPD
• University of Pittsburgh Physicians

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
  • NPI 1285692699
  NPD

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1437637485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HIGH ST",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 W MAIN ST",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154012868",
            "telephone_number": "724-430-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MALLORY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janna Marie Glover
• Gma-Uniontown Inc (Laurel Ridge Center)
• Roger A Goebel, MD
• Penelope Goldbach, LSW
• Jodilyn Golnik, LPC
• Good Works Life Recovery House
• Goodwill Industries of Fayette County
• Bailey Gordon
• Katherine Eileen Gosney, B.A.
• Gouker Chiropractic Clinic, P.C.

• Family Nurse Practitioner in Uniontown, PA
• Providers in Uniontown, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.