Katherine Ann Gonzaga

MD | Pediatric Allergy-Immunology | Female

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Complete Profile:

Katherine Ann Gonzaga basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Allergy/Immunology
Provider Name :	Katherine Ann Gonzaga
Credential :	MD
Gender :	Female
Sole Proprietor :	Yes

Business Address:

Katherine Ann Gonzaga 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 :	6408 Copps Ave Monona, WI, 53716-3702 United States
Phone Number :	608-417-3000

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 :	1629118211
NPI Entity Type :	Individual
First Enrolment Date :	06 Feb, 2007
Last Updated On :	04 Jan, 2021

Medicare Participation:

Katherine Ann Gonzaga participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	2961651179
Medicare Enrollment ID :	I20121003000806
Primary Specialty :	Allergy/immunology
Medical School :	Loyola University Of Chicago, Stritch School Of Medicine
Graduation Year :	2006
Accepts Medicare?	Yes. Katherine Ann Gonzaga accepts medicare insurance.

Group Practice Association:

Katherine Ann Gonzaga is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Katherine Ann Gonzaga is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Of Wisconsin Medical Foundation Inc	6608785464	2030	20 S Park St Madison, WI - 537151348 Ph: 6082872076	Yes

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 Katherine Ann Gonzaga are as mentioned. Primary taxonomy code for Katherine Ann Gonzaga, MD is 2080P0201X (Pediatrics Pediatric Allergy/Immunology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0201X	Pediatrics Pediatric Allergy/Immunology	Yes	51711	WI

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).

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 :	202 S Park St Madison, WI, 53715-1507 United States

Business Location:

Patients can refer following map for directions to Katherine Ann Gonzaga practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.