Organization Active NPI

Ernest Gonzalez

  • Pediatrics Physician
  • Palatka, FL
National Provider Identifier
1679791701
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME0038861 Issued in FL
Legal business name
ERNEST GONZALEZ
Practice address
800 Zeagler Dr
Suite600
Palatka, FL 32177-3867
Phone
(386) 328-9484
Fax
(386) 328-6569
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Authorized official

Name
Ernest Gonzalez, MDNPI 1427098490
Title
Physician
Phone
(386) 328-9484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME0038861 FL Primary

Addresses

Primary practice location

800 Zeagler Dr
Suite600
Palatka, FL 32177-3867

Mailing address

800 Zeagler Dr
Suite600
Palatka, FL 32177-3867
Phone (386) 328-9484

Other identifiers 1

IdentifierTypeStateIssuer
373443900MedicaidFL

National Provider Directory

National Provider Directory

Locations

800 Zeagler Dr
Ste 600
Palatka, FL 32177
Phone (386) 328-9484

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1679791701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ZEAGLER DR",
            "address_2": "SUITE600",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773867",
            "telephone_number": "386-328-9484",
            "fax_number": "386-328-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ZEAGLER DR",
            "address_2": "SUITE600",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773867",
            "telephone_number": "386-328-9484",
            "fax_number": "386-328-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNEST GONZALEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "386-328-9484",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0038861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373443900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.