Active NPI
Thomas Paul Gonsoulin, MD
- Otolaryngology Physician
- Highlands Ranch, CO
National Provider Identifier
1922051036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 44032
- Practice address
- 200 W County Line Rd
Suite 330
Highlands Ranch, CO 80129-2342 - Phone
- (303) 795-5587
- Fax
- (303) 795-3404
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 44032 | CO | Primary |
Addresses
Primary practice location
200 W County Line Rd
Suite 330
Highlands Ranch, CO 80129-2342
Mailing address
200 W County Line Rd
Suite 330
Highlands Ranch, CO 80129-2342
Phone (303) 795-5587
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48757276 | Medicaid | CO | |
| 97427055 | Other | CO | MEDICAID GROUP NUMBER |
| C810211 | Other | CO | MEDICARE GROUP NUMBER |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9814 | LA | MD | Clinical Social Worker |
| 44032 | CO | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthone Clinic Services-Surgical Specialties LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Surgery Physician
- Denver, CO
- NPI 1639376585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359504000000",
"number": "1922051036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W COUNTY LINE RD",
"address_2": "SUITE 330",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801292342",
"telephone_number": "303-795-5587",
"fax_number": "303-795-3404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W COUNTY LINE RD",
"address_2": "SUITE 330",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801292342",
"telephone_number": "303-795-5587",
"fax_number": "303-795-3404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONSOULIN",
"first_name": "THOMAS",
"middle_name": "PAUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2013-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CO",
"license": "44032",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "48757276",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP NUMBER",
"identifier": "97427055",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "C810211",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Highlands Ranch, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.