Patricia D Gonzales, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101026123 Issued in VA

Practice address

505 N 6TH Ave
Hopewell, VA 23860-2618

Phone

(804) 458-1430

Fax

(804) 458-8857

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Infant Jesus Childrens Clinic PLC

  • Pediatrics Physician
  • Colonial Heights, VA
  • NPI 1659306991
  NPD Authorized official
• Infant Jesus Pediatrics PLC

  • Pediatrics Physician
  • Hopewell, VA
  • NPI 1649483967
  NPD Authorized official

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1891720074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11768",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232300168",
            "telephone_number": "804-545-6870",
            "fax_number": "804-213-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N 6TH AVE",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238602618",
            "telephone_number": "804-458-1430",
            "fax_number": "804-458-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "PATRICIA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101026123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006700883",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Gardner, LPC, ATR-BC, CTS
• La Sonya Taneika Genard, FNP-BC
• Bethany L Gent, PHARMD
• Elizabeth Gibson
• Miasha Gilliam-El
• Andrea Nicole Gordon, M.D.
• Graced LLC
• Graceful Growth Support Services
• Candice Granderson
• Renee Michele Green, PSY.D

• Pediatrics Physician in Hopewell, VA
• Providers in Hopewell, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.