Jordan Gonzales, ATC, LAT

ActiveIndividual ProviderSpecialty not listed
NPI issued: May 4, 2015

Quick Facts

NPI Number
1154708626
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy2255A2300X — Specialty not listed
Phone
(918) 444-3921
StateOK

NPI Validation Status: Verified

Valid 10-digit NPI number (1154708626)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (May 4, 2015)
Data source: CMS NPPES

Provider Overview

JORDAN GONZALES, ATC, LAT is a Healthcare provider based in Tahlequah, OK who has been registered with CMS since 2015. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1154708626
Provider TypeIndividual Provider
GenderMale
CredentialATC, LAT
StatusActive
Enumeration DateMay 4, 2015

Practice Location

CityTahlequah
StateOK
ZIP Code74464-2302
Phone(918) 444-3921

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code2255A2300X
License StateOK

Mailing Address

CityTahlequah
StateOK
ZIP Code74464-2302
Phone(918) 444-3921
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1154708626 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1154708626for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1154708626 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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48,897
Specialty not listed Providers in the US

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Michael Goedecke, MS ATC LAT

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People Also Ask

What is Jordan Gonzales's NPI number?
Jordan Gonzales's NPI number is 1154708626, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jordan Gonzales's NPI currently active?
Yes, Jordan Gonzales's NPI status is Active as of the latest CMS NPPES database updates.
What does Jordan Gonzales specialize in?
Jordan Gonzales specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 2255A2300X.
Where does Jordan Gonzales practice?
Jordan Gonzales practices in Tahlequah, OK 74464-2302.
When was Jordan Gonzales's NPI issued?
Jordan Gonzales's NPI was issued on May 4, 2015.
What is Jordan Gonzales's provider type?
Jordan Gonzales is registered as an Individual Provider under CMS NPI Type 1.