FLOYD GONZALEZ M.D. NPI 1972502953

NPI Information

  • NPI: 1972502953
  • Provider Name: FLOYD GONZALEZ, M.D.
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Individual
  • CLIA Number: 04D2162140
  • Address: 821 WALTER J LEEPER DR
    SUITE 101
    DE QUEEN, AR
    ZIP 71832
  • Phone: (870) 642-8640

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NPI Details

Floyd Gonzalez, M.D. is an adolescent medicine pediatrics in De Queen, AR. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Floyd Gonzalez, M.D. NPI is 1972502953. 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:

821 WALTER J LEEPER DR
SUITE 101
DE QUEEN, AR
ZIP 71832-591
Phone: (870) 642-8640
Fax: (870) 642-3516

The CLIA number assigned to this NPI record is 04D2162140 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/20/2005 and was last updated on 8/13/2012.

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
12080A0000XPediatricsAdolescent MedicineE1628ARKANSASYes

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
1133554001MEDICAIDARKANSAS
2G65915MEDICARE UPINARKANSAS
3100213340AMEDICAIDOKLAHOMA
4100213340BOTHEROKLAHOMASOONERCARE

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

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