Mary L Gonzales, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Practice address

4500 Memorial Drive
Anesthesia Dept
Belleville, IL 62223

Phone

(618) 257-4076

NPI assigned

Jul 8, 2006

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

Other names 1

• Mary L Huller Other name

Medicare fee-for-service enrollment

Enrolled in IL, MO2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gateway Anesthesia Group LLCGroup PAC ID 0840651626, 6 clinicians

Eye Anesthesia LLCGroup PAC ID 5698922581, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Gateway Anesthesia Group LLC

  • Anesthesiology Physician
  • Saint Louis, MO
  • NPI 1457040479
  Medicare reassignment Care Compare group NPD
• Eye Anesthesia LLC

  • Anesthesiology Physician
  • Saint Louis, MO
  • NPI 1528334182

  IL

  Medicare reassignment Care Compare group
• Premier Anesthesia LLC

  • Anesthesiology Physician
  • Saint Louis, MO
  • NPI 1225073828

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• SW Anesthesia LLC

  • Anesthesiology Physician
  • Saint Louis, MO
  • NPI 1306319769
  Medicare reassignment NPD
• Specialists in Anesthesia PC

  • Anesthesiology Physician
  • St Louis, MO
  • NPI 1689619280
  Medicare reassignment
• Midwest Anesthesia Inc.

  • Anesthesiology Physician
  • Saint Louis, MO
  • NPI 1285717587
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649203290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 MEMORIAL DRIVE",
            "address_2": "ANESTHESIA DEPT",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "62223",
            "telephone_number": "618-257-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MEMORIAL DRIVE",
            "address_2": "ANESTHESIA DEPT",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "62223",
            "telephone_number": "618-257-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "MARY",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "HULLER",
            "middle_name": "L",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carmon L Glover III, DO
• Antonia M Goelz, P. T.
• Daphne Goewey
• McKinze Darlene Goldman
• Traci A Goldschmidt
• Kimberly Goodson
• Debra Gordon, MS CCC SLP
• Joyce Ann Goscinski, PT
• Grace Women'S Healthcare
• Kimberly Grana, NP

• Certified Registered Nurse Anesthetist in Belleville, IL
• Providers in Belleville, IL by specialty
• Certified Registered Nurse Anesthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.