National Provider Identifier Database

GUS A GONZALEZ, MD – NPI #1962497594
Hematology & Oncology

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.


Contact Information

GUS A GONZALEZ, MD
701 FALLING SKY DR
EDMOND, OK73034-0808
Phone: 417-544-4147
Fax:
Website:
Specialty Taxonomy Code
* Hematology & Oncology 207RH0003X
Medical Oncology 207RX0202X

* Indicates primary specialty

NPI Profile & details for GUS A GONZALEZ

NPI Number 1962497594
Credentials MD
Entity Individual
Enumeration date 09/20/2005
Last updated 06/12/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • MO License #: 2014027664
  • TX License #: M6151
  • MO Medicaid: 1962497594
  • MO Medicaid: 200016575
  • OK Medicaid: 100216400D
  • TX Medicaid: 1886756-01
  • TX Medicaid: 1886756-03
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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