Active NPI
Ernest Gonzalez
- Pediatrics Physician
- Palatka, FL
National Provider Identifier
1679791701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME0038861
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ernest Gonzalez, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 373443900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.