Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shane T Gonzales, MD

Individual provider Anesthesiology Physician · NPI 1346290335

Shane T Gonzales, MD is an Anesthesiology in Providence, Utah. Graduated from Medical College of Wisconsin in 2000, 26 years ago. Practices with Interwest Anesthesia Associates LLC, a 27-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
26
Trained at
Medical College of Wisconsin
Licensed in
UT
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

560 W 465 N Ste 604
Providence, UT 84332-8006
Phone: (435) 753-1600
Fax: (435) 753-9521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 5139675-1205 (UT)

Record details

NPI number1346290335
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 11, 2006
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2000 (26 years in practice)
Group practice Interwest Anesthesia Associates Llc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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