Robert Gonsalves Iii

DO | Pediatric Endocrinology | Male

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Complete Profile:

Robert Gonsalves Iii basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Endocrinology
Provider Name :	Robert Gonsalves Iii
Credential :	DO
Gender :	Male
Sole Proprietor :	Yes

Business Address:

Robert Gonsalves Iii 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 :	1920 E Cambridge Ave Ste 301 Phoenix, AZ, 85006 United States
Phone Number :	026-933-0935

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 :	1619395357
NPI Entity Type :	Individual
First Enrolment Date :	31 Mar, 2014
Last Updated On :	09 Dec, 2020

Medicare Participation:

Robert Gonsalves Iii participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	6507287364
Medicare Enrollment ID :	I20200602003171
Primary Specialty :	Endocrinology
Medical School :	Other
Graduation Year :	2014
Accepts Medicare?	Yes. Robert Gonsalves Iii accepts medicare insurance.

Group Practice Association:

Robert Gonsalves Iii 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 Robert Gonsalves Iii is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Phoenix Children's Hospital	0446278584	278	1920 E Cambridge Ave Phoenix, AZ - 850061459 Ph: 6029331000	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 Robert Gonsalves Iii are as mentioned. Primary taxonomy code for Robert Gonsalves Iii, DO is 2080P0205X (Pediatrics Pediatric Endocrinology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0205X	Pediatrics Pediatric Endocrinology	Yes	007269	AZ
2080P0205X	Pediatrics Pediatric Endocrinology	No	704889	AZ
390200000X	Student in an Organized Health Care Education/Training Program	No

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 :	3200 E Camelback Rd Ste 250 Phoenix, AZ, 85018-2327 United States
Phone Number :	602-933-1814

Business Location:

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