PHILLIP J. GONZALES MD – NPI #1720095409
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

PHILLIP GONZALES is a physician located in WOODBURY, MN. NPPES has assigned the NPI number 1720095409 to PHILLIP GONZALES on August 02, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 7 years ago on Apr 22, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PHILLIP GONZALES below.

NPI Profile for
PHILLIP J. GONZALES

NPI Number
1720095409
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PHILLIP J. GONZALES
Credentials
MD
Primary location
8325 CITY CENTRE DR
WOODBURY, MN 55125-3605
Phone: (651) 731-0859 Fax: (651) 731-0976
Mailing address
2025 SLOAN PL STE 35
SAINT PAUL, MN 55117-2092
Phone: (651) 772-1572 Fax: (651) 772-1889
Sole Proprietor
No
Updated
Identifiers

Identifiers for PHILLIP GONZALES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMN114383200
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
MN 30345

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.