SERGIO G GONZALEZ MD PA NPI 1952307308

NPI Information

  • NPI: 1952307308
  • Provider Name: SERGIO G GONZALEZ MD PA
  • Classification: Pathology - 207ZD0900X
  • Specialization: Dermatopathology
  • Entity Type: Organization
  • Address: 119 SOUTH 12TH AVENUE
    LAUREL, MS
    ZIP 39440
  • Phone: (601) 425-9763

Map and Directions

Get Directions

NPI Details

SERGIO G GONZALEZ MD PA is a dermatopathology pathology in Laurel, MS. The provider is a dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. SERGIO G GONZALEZ MD PA NPI is 1952307308. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

119 SOUTH 12TH AVENUE
LAUREL, MS
ZIP 39440-322
Phone: (601) 425-9763
Fax: (601) 428-5360

The provider's authorized official is Sergio G Gonzalez .
The authorized official title is Director and has the following contact phone number (601) 649-5842.

The enumeration date for this NPI number is 6/21/2005 and was last updated on 1/24/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice06914MISSISSIPPINo
2207ZD0900XPathologyDermatopathology6914MISSISSIPPIYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1512G70024OTHERMISSISSIPPIMEDICARE GROUP
200013124MEDICAIDMISSISSIPPI
3C48282MEDICARE UPINMISSISSIPPI

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: 11/21/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI