Active NPI
Lisa Gonzales, CRNA
- Certified Registered Nurse Anesthetist
- Phila, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN346728L
- Practice address
- 230 N Broad St
Phila, PA 19102-1121 - Phone
- (215) 762-7922
- Fax
- (215) 762-8656
- NPI assigned
- Apr 21, 2006
- Last updated
- May 9, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN346728L | PA | Primary |
Addresses
Primary practice location
230 N Broad St
Phila, PA 19102-1121
Mailing address
1500 Market St
24TH Floor- West Tower
Phila, PA 19102-2100
Phone (215) 255-3828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 S 11TH St
Suite 8490
Philadelphia, PA 19107-4824
Phone (215) 955-6161
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Associates in Healthcare, Inc | Current | Accepting new patients | |
| Northstar Anesthesia of Pennsylvania, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Methodist Associates in Healthcare, Inc | Current | Accepting new patients | |
| Methodist Associates in Healthcare, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Jefferson University Physicians | Current | Accepting new patients | |
| Mercy Catholic Medical Center of Southeastern,PA | Past | Accepting new patients | |
| Rittenhouse Anesthesia Associates, LTD. | Past | Accepting new patients | |
| James F Noone MD PC | Past | Accepting new patients | |
| Philadelphia Health & Education Corporation | Past | Accepting new patients | |
| Huntingdon Valley Anesthesia Associates | Past | Accepting new patients |
Locations
1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000
1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561
1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413
2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000
2301 S Broad St
Philadelphia, PA 19148
Phone (215) 952-9000
111 S 11th St
Ste 8490
Philadelphia, PA 19107
Phone (215) 955-6161
900 Walnut St
Fl 2
Philadelphia, PA 19107
Phone (215) 955-1234
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
Organizations & group practices 10
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.
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1053355131
-
- Anesthesiology Physician
- Darby, PA
- NPI 1700218989
Nurse Anesthetist, Certified Registered
-
dba Methodist Anesthesia Practice
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1396731188
Nurse Anesthetist, Certified Registered
-
dba Jefferson Community Physicians - Neurosurgery
- Neurological Surgery Physician
- Philadelphia, PA
- NPI 1790390813
-
- Specialist
- Meadowbrook, PA
- NPI 1710933114
-
- Specialist
- Meadowbrook, PA
- NPI 1699721001
-
dba Mercy Pharmacy
- Community/Retail Pharmacy
- Darby, PA
- NPI 1073868667
-
dba Drexel Gynecology-Oncology Services
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1356496038
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1013962331
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399593600000",
"number": "1609832526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 MARKET ST",
"address_2": "24TH FLOOR- WEST TOWER",
"city": "PHILA",
"state": "PA",
"postal_code": "191022100",
"telephone_number": "215-255-3828",
"fax_number": "215-255-3577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 N BROAD ST",
"city": "PHILA",
"state": "PA",
"postal_code": "191021121",
"telephone_number": "215-762-7922",
"fax_number": "215-762-8656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "LISA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-21",
"last_updated": "2014-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN346728L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phila, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.