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SERGIO G GONZALEZ MD PA
NPI 1952307308
Pathology - Dermatopathology in Laurel, MS

Active since June 21, 2005
119 SOUTH 12TH AVENUE, LAUREL, MS 39440(601) 425-9763(601) 428-5360 Get Directions Write a Review

NPPES record last updated: January 24, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sergio G Gonzalez Md Pa NPPES

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

SERGIO G GONZALEZ MD PA (NPI 1952307308) is a healthcare organization registered as a dermatopathology in Laurel, Mississippi and active in the NPI registry since June 2005. The organization lists Sergio G Gonzalez, Director, as its authorized official.

NPPES Registry Identity

NPI1952307308
Entity TypeOrganization
Primary Taxonomy207ZD0900X
Legal Business NameSERGIO G GONZALEZ MD PA
Location Address119 SOUTH 12TH AVENUELaurel, MS 39440-4322
Mailing Address119 South 12th AvenueLaurel, MS 39440-4322 · (601) 425-9763 · Fax (601) 428-5360
Phone(601) 425-9763
Fax(601) 428-5360
Organization SubpartNo
Authorized OfficialSergio G GonzalezDirector · (601) 649-5842
Enumeration DateJune 21, 2005
Last NPPES UpdateJanuary 24, 2008
✔ NPI 1952307308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZD0900X
License✔ Licensed in MS · 6914
Definition

A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 06914 (MS)
119 SOUTH 12TH AVENUE, Laurel, MS 39440
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Other Identifiers 3

Other512G70024MS · Medicare Group
Medicaid00013124MS
Medicare UPINC48282MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Sergio G Gonzalez MD PA's NPI number?

The NPI number for Sergio G Gonzalez MD PA is 1952307308. It was assigned to this organization in the NPPES registry on June 21, 2005.

Where is Sergio G Gonzalez MD PA located?

Sergio G Gonzalez MD PA is located at 119 South 12th Avenue, Laurel, MS 39440. The listed phone number is (601) 425-9763.

What is Sergio G Gonzalez MD PA's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.

When was this NPI record last updated?

The NPPES record for Sergio G Gonzalez MD PA was last updated on January 24, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.