Active NPI
Miguel H Gonzalez
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Leesburg, VA
National Provider Identifier
1841574597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 0101020252
- Practice address
- 44112 Riverpoint Dr
Leesburg, VA 20176-8206 - Phone
- (703) 201-9547
- NPI assigned
- Sep 29, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 0101020252 | VA | Primary |
Addresses
Primary practice location
44112 Riverpoint Dr
Leesburg, VA 20176-8206
Mailing address
44112 Riverpoint Dr
Leesburg, VA 20176-8206
Phone (703) 201-9547
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48600001 | Other | DC | BC/BS NATIONAL CAPITAL AREA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101020252 | VA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317254400000",
"number": "1841574597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44112 RIVERPOINT DR",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201768206",
"telephone_number": "703-201-9547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44112 RIVERPOINT DR",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201768206",
"telephone_number": "703-201-9547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "MIGUEL",
"middle_name": "H",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-29",
"last_updated": "2011-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "VA",
"license": "0101020252",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS NATIONAL CAPITAL AREA",
"identifier": "48600001",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.