John Gonzales IV, H.I.S.

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

2010035283 Issued in MO

Practice address

1902 W 19TH St
Suite a
Mountain Grove, MO 65711-1287

Phone

(417) 631-2522

NPI assigned

Mar 12, 2011

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Hearing Aide

  • Hearing and Speech Clinic/Center
  • Mountain Grove, MO
  • NPI 1023434545
  NPD (past) Authorized official

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

{
    "created_epoch": "1299888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394150400000",
    "number": "1578861712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4307 FAIR HAVEN DR",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657147339",
            "telephone_number": "417-631-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 W 19TH ST",
            "address_2": "SUITE A",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657111287",
            "telephone_number": "417-631-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "JOHN",
        "name_suffix": "IV",
        "credential": "H.I.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-12",
        "last_updated": "2014-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "2010035283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Walk in Clinic of Mountain Grove Inc (Family Walk-in Clinic of MTN. Grove, Inc.)
• Marcella Dawn Fleetwood, PLPC
• Melissa Freeman
• Charlee Gann, RDH
• Stephanie Renae Gerlek, LCSW
• Courtney Leann Hamilton, DPT
• Jaime Harker, RDMS, RVT, RDCS, RTR
• Carolyn Nunn Harvey
• Nancy J. Hayes, MD
• Colleen Haynie

• Hearing Instrument Specialist in Mountain Grove, MO
• Providers in Mountain Grove, MO by specialty
• Hearing Instrument Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; 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.