Provider Type Icon

DR. GEORGE DANIEL GONZALEZ M.D. NPI 1588683585


NPI Information

NPI: 1588683585
Provider Name: DR. GEORGE DANIEL GONZALEZ, M.D.
Classification: Surgery - 208600000X
Entity Type: Individual

PECOS Registration: Yes

Address:
444 CLINCHFIELD STREET
SUITE 2900
KINGSPORT, TN
ZIP 37660
Phone: (423) 245-6101
Get Directions

DR. George Daniel Gonzalez, M.D. is a surgery in Kingsport, TN. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. DR. George Daniel Gonzalez, M.D. NPI is 1588683585. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

444 CLINCHFIELD STREET
SUITE 2900
KINGSPORT, TN
ZIP 37660
Phone: (423) 245-6101
Fax: (423) 245-2396

The NPI 1588683585 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 3/10/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0204XRadiologyVascular & Interventional RadiologyMD19962TENNESSEENo
22086S0129XSurgeryVascular SurgeryMD19962TENNESSEENo
3208600000XSurgeryMD19962TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14656188OTHERAETNA
27311095OTHERVIRGINIAVIRGINIA MEDICAID
3C84111MEDICARE UPINTENNESSEE
43130863OTHERTENNESSEEBCBS TENNESSEE
53046049MEDICAIDTENNESSEE
620043969OTHERTENNESSEERAILROAD MEDICARE
7265295OTHERVIRGINIAANTHEM BCBS VIRGINIA
83046049MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.