Nestor Ruben Gonzalez, MD

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

43819 Issued in KY

Practice address

111 Well Park Lane
Ste 1
Campbellsville, KY 42718

Phone

(270) 692-3161

Fax

(270) 692-5155

NPI assigned

Mar 7, 2007

Last updated

May 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spring View Physician Practices LLCGroup PAC ID 3476557000, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Spring View Hospital Hospital, Lebanon, KY, CCN 180024
• Taylor Regional Hospital Hospital, Campbellsville, KY, CCN 180087

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nestor.gonzalez.1@30070.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spring View Physician Practices, LLC

  • Family Medicine Physician
  • Lebanon, KY
  • NPI 1154739399
  Medicare reassignment Care Compare group NPD
• Taylor Regional Medical Group,LLC

  dba Taylor Regional Women for Women

  • Obstetrics & Gynecology Physician
  • Campbellsville, KY
  • NPI 1174697601
  Medicare reassignment NPD
• Spring View Physician Practices LLC

  dba Spring View Women's & Children's Clinic - Campbellsville

  • Rural Health Clinic/Center
  • Campbellsville, KY
  • NPI 1326810920
  NPD
• Taylor Regional Medical Group LLC

  dba Taylor Regional Hospital Health Clinic

  • Rural Health Clinic/Center
  • Campbellsville, KY
  • NPI 1073370185
  NPD
• Taylor Regional Medical Group, LLC

  dba Taylor Regional Orthopedic Group

  • Orthopaedic Surgery Physician
  • Campbellsville, KY
  • NPI 1619981339
  NPD
• Spring View Physician Practices, LLC

  dba Spring View Women's & Children's Clinic

  • Rural Health Clinic/Center
  • Lebanon, KY
  • NPI 1477851467
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Spring View Hospital LLC

  dba Spring View Hospital

  • Rural Acute Care Hospital
  • Lebanon, KY
  • NPI 1780746420
  Care Compare affiliation
• Taylor County Hospital District Health Facilities Corporation

  • General Acute Care Hospital
  • Campbellsville, KY
  • NPI 1689761942
  Care Compare affiliation

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1861522849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N LORETTO RD",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331300",
            "telephone_number": "270-692-3161",
            "fax_number": "270-692-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WELL PARK LANE",
            "address_2": "STE 1",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "42718",
            "telephone_number": "270-692-3161",
            "fax_number": "270-692-5155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 N Loretto Rd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "KY",
            "postal_code": "400331634",
            "country_code": "US",
            "telephone_number": "270-692-5254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 N Loretto Rd",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "KY",
            "postal_code": "400331300",
            "country_code": "US",
            "telephone_number": "270-692-3161 x757",
            "fax_number": "270-692-5155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1698 Old Lebanon Rd",
            "address_2": "Suite 3A",
            "address_purpose": "LOCATION",
            "city": "Campbellsville",
            "state": "KY",
            "postal_code": "427189662",
            "country_code": "US",
            "telephone_number": "270-465-0632",
            "fax_number": "270-789-6119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "NESTOR",
        "middle_name": "RUBEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2023-05-09",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": "11011414A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "KY",
            "license": "FT335",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "KY",
            "license": "43819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith H Gilpin, PA-C
• Katelyn Neal Gist, PA-C
• Amanda Goff
• Briana Goldsmith
• David Goldsmith, PHARMD
• Jacklyn Marie Goodson
• Kimberly A. Gowin, APRN
• Grace and Wellness Behavioral Health Group, LLC
• Heather Brook Graham
• Sandra Kaye Grant

• Sports Medicine (Orthopaedic Surgery) Physician in Campbellsville, KY
• Providers in Campbellsville, KY by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.