STEPHANIE GONZALEZ MD
NPI 1720722598
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since April 26, 2022PECOS Enrolled
4301 W MARKHAM ST # 634, LITTLE ROCK, AR 72205(501) 686-5637 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stephanie Gonzalez Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE GONZALEZ MD (NPI 1720722598) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720722598
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSTEPHANIE GONZALEZCredential: MD
Location Address4301 W MARKHAM ST # 634Little Rock, AR 72205-7101
Mailing Address236 Six Shooter RdEagle Pass, TX 78852-1120 · (830) 776-3134
Sole ProprietorYes
Enumeration DateApril 26, 2022
NPPES CertifiedApril 26, 2022
NPI 1720722598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4301 W MARKHAM ST # 634, Little Rock, AR 72205

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stephanie Gonzalez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Gonzalez's NPI number?

The NPI number for Stephanie Gonzalez is 1720722598. It was assigned to this individual provider in the NPPES registry on April 26, 2022.

Where is Stephanie Gonzalez located?

Stephanie Gonzalez practices at 4301 W Markham St # 634, Little Rock, AR 72205. The listed phone number is (501) 686-5637.

What is Stephanie Gonzalez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Stephanie Gonzalez enrolled in Medicare?

Yes. Stephanie Gonzalez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Gonzalez was last updated on April 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.