Calle A Gonzales-bagdon
M.D. | Pediatrics | Female
Calle A Gonzales-bagdon, M.D. is a Moses Lake, Washington based Pediatric doctor with medical specialization in
General Pediatrics. Calle A Gonzales-bagdon is also known as
Calle Ann Gonzales.
Current practice location of Calle A Gonzales-bagdon is
660 S Coolidge St, Moses Lake, Washington - 98837-1872. She can be contacted on phone at
509-793-9715 and fax number 509-764-3244.
Calle A Gonzales-bagdon is a sole proprietor of her business.
NPI number (Unique professional ID) for Calle A Gonzales-bagdon is
1447360359 which was assigned by NPPES on 30 Aug, 2006 and it was last updated on 18 Nov, 2022.
Calle A Gonzales-bagdon license number is
MD61092894 for Pediatrics (208000000X) in Washington.
Calle A Gonzales-bagdon is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Calle A Gonzales-bagdon basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Calle A Gonzales-bagdon |
|---|
| Other Name : | Calle Ann Gonzales |
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| Credential : | M.D. |
|---|
| Gender : | Female |
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Business Address:
Calle A Gonzales-bagdon address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 660 S Coolidge St
Moses Lake, WA, 98837-1872
United States |
|---|
| Phone Number : | 509-793-9715 |
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| Fax Number : | 509-764-3244 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1447360359 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 30 Aug, 2006 |
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| Last Updated On : | 18 Nov, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Calle A Gonzales-bagdon are as mentioned. Primary taxonomy code for Calle A Gonzales-bagdon, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | MED-PHYS-LIC-103519 | MT |
| 208000000X | Pediatrics | No | G-71741 | CA |
| 208000000X | Pediatrics | No | 16068 | NH |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | No | 16068 | NH |
| 2080P0203X | Pediatrics, Pediatric Critical Care Medicine | No | 16068 | NH |
| 2080P0203X | Pediatrics, Pediatric Critical Care Medicine | No | MD11372 | HI |
| 2080P0203X | Pediatrics, Pediatric Critical Care Medicine | No | MD61092894 | WA |
| 208000000X | Pediatrics | Yes | MD61092894 | WA |
Legacy Identifiers:
Other legacy medical identifiers of Calle A Gonzales-bagdon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 2168392 | MEDICAID | WA | |
| 8EZ57F | MEDICARE ID-Type Unspecified | AK | |
| F49626 | MEDICARE UPIN | AK | |
| F49629 | MEDICARE UPIN | AK | |
| MD34321 | MEDICAID | AK | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
1550 S PIONEER WAY STE 200,
MOSES LAKE, WA, 98837-4614
United States | MOSES LAKE, WA | 509-793-9787 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | cgonzalesbagdon6939@wm.providencedirect.org
EPIC EMR | No affiliation | DIRECT
Direct
|
| 1550 S Pioneer Way Ste 200,
Moses Lake, WA, 98837-4614
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 801 E Wheeler Rd
Moses Lake, WA, 98837-1820
United States |
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| Phone Number : | 509-765-5606 |
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Business Location:
Patients can refer following map for directions to
Calle A Gonzales-bagdon practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.