John W. Gonzalez, MD Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

01052463 Issued in IN

Legal business name

JOHN W. GONZALEZ, MD INC

Practice address

501 E Hospital LN
Suite 104
Terre Haute, IN 47802-4230

Phone

(812) 232-5518

NPI assigned

May 1, 2008

Last updated

Apr 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Winston Gonzalez, MD

Title

President

Phone

(812) 232-5518

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: johnwgonzalezmd.johngonzalez@144631.advancedmd-direct.com

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Winston Donato Gonzalez, M.D.

  • Psychiatry Physician
  • Terre Haute, IN
  • NPI 1851471163
  Medicare reassignment NPD
• Robert A Chua, M.D.

  • Internal Medicine Physician
  • Terre Haute, IN
  • NPI 1184725442
  NPD (past)

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1669648572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E HOSPITAL LN",
            "address_2": "SUITE 104",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024230",
            "telephone_number": "812-232-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E HOSPITAL LN",
            "address_2": "SUITE 104",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024230",
            "telephone_number": "812-232-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W. GONZALEZ, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WINSTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-232-5518",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01052463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Johnwgonzalezmd.johngonzalez@144631.advancedmd-direct.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "501 E Hospital Ln",
            "address_2": "Suite 104",
            "city": "Terre Haute",
            "state": "IN",
            "country_code": "US",
            "postal_code": "478024230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Isaiah Jernberg, D.D.S.
• Sherri Kay Jernberg, FNP
• You-Chuan Jin, MBBS
• John Barton, LPT
• John of Lynns Terre Haute Phcy LLC (Terre Haute Prescription Shop)
• Mathews John, M.D.
• Victoria Johns
• Allyson Johnson, RBT
• Amanda Johnson, BS, MLD
• Bradley D Johnson

• Psychiatry Physician in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Psychiatry Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.