Individual provider Active NPI

Elizabeth Ortiz-Gonzalez

  • Internal Medicine Physician
  • Bradenton, FL
National Provider Identifier
1629350871
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME131837 Issued in FL
Practice address
919 53Rd Ave E
Bradenton, FL 34203-4801
Phone
(941) 751-8100
Fax
(941) 751-8127
NPI assigned
Sep 14, 2011
Last updated
Sep 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME131837 FL Primary

Addresses

Primary practice location

919 53Rd Ave E
Bradenton, FL 34203-4801

Mailing address

700 8TH Ave W Ste 101
Palmetto, FL 34221-4737
Phone (941) 776-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181030000788 FL Practitioner - Internal Medicine 5294088829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCR Health IncGroup PAC ID 7214847995, 132 clinicians

Practice addresses (Care Compare)

12271 US Hwy 301 N
Parrish, FL 34219-8410
Phone (941) 713-2231

4805 26TH St W
Bradenton, FL 34207-1706
Phone (941) 753-7843

919 53Rd Ave E
Bradenton, FL 34203-4801
Phone (941) 751-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. CurrentSince Sep 28, 2018 Accepting new patients
MCR Health, Inc. CurrentSince Sep 28, 2018 Accepting new patients

Locations

1312 Manatee Ave E
Bradenton, FL 34208
Phone (941) 708-8700

3501 Cortez Rd W
Ste 1
Bradenton, FL 34210
Phone (941) 909-7007

4805 26th St W
Bradenton, FL 34207
Phone (941) 753-7843

5108 15th St E
Ste 111
Bradenton, FL 34203
Phone (941) 210-7942

919 53rd Ave E
Bradenton, FL 34203
Phone (941) 751-8100

579 S Indiana Ave
Ste A
Englewood, FL 34223
Phone (941) 460-1341

404 7th St W
Palmetto, FL 34221
Phone (941) 729-3856

5600 Bayshore Rd
Palmetto, FL 34221
Phone (941) 721-2020

700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

170 N Lime Ave
Sarasota, FL 34237
Phone (941) 867-0125

Interoperability endpoints

  • Direct secure messaging: elizabeth.ortiz.gonzalez.1@11352.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1629350871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 8TH AVE W STE 101",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342214737",
            "telephone_number": "941-776-4000",
            "fax_number": "941-845-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 53RD AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342034801",
            "telephone_number": "941-751-8100",
            "fax_number": "941-751-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ-GONZALEZ",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME131837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.