DR. XAVIER LOPEZ GONZALEZ (NPI# 1518996909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518996909 |
| Entity Type | Individual |
| Full Name | DR. XAVIER LOPEZ GONZALEZ |
| Credential | M.D. |
| Practice Address |
2100 W Iowa Ave Chickasha OK 73018-2736 |
| Mailing Address |
Po Box 26666 Provider Enrollment Albuquerque NM 87125-6666 |
| Practice Telephone | 4052242100 |
| Practice Fax Number | 4057792365 |
| Mailing Telephone | 5059236770 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2019-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 76-179 | NM | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | A38332 | CA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 11223 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200023140A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898228 | Xavier Gonzalez | Social Worker | 2090 Adam Clayton Powell Jr Blvd, New York, NY 10027-4990 | 2020-10-16 |
| 1487299038 | Xavier Gonzalez | Physical Therapist | 6702 W Linebaugh Ave, Tampa, FL 33625-4953 | 2019-11-07 |
| Street Address |
2100 W IOWA AVE |
| City | CHICKASHA |
| State | OK |
| Zip Code | 73018-2736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902887482 | Mitchell D Coppedge | Family Medicine | 2100 W Iowa Ave, Suite A, Chickasha, OK 73018-2736 | 2005-11-10 |
| 1639784176 | Foot & Ankle Surgeons of Oklahoma Pllc | Podiatrist | 2100 W Iowa Ave, Chickasha, OK 73018-2736 | 2020-09-11 |
| 1245619006 | Jerrus Harris | Nurse Practitioner | 2100 W Iowa Ave, Suite A, Chickasha, OK 73018-2736 | 2015-05-27 |
| 1699199984 | Delanie Berry | Nurse Practitioner | 2100 W Iowa Ave, Suite A, Chickasha, OK 73018-2736 | 2014-02-07 |
| 1164859260 | Grady Memorial Hospital | Family Medicine | 2100 W Iowa Ave, Suite A, Chickasha, OK 73018-2736 | 2013-10-03 |
| 1669775714 | Laura Louise Kadechuk | Physician Assistant | 2100 W Iowa Ave, Suite A, Chickasha, OK 73018-2736 | 2010-12-13 |
| 1457654519 | Mary A. Ross | Physician Assistant | 2100 W Iowa Ave, Suite A, Chickasha, OK 73018-2736 | 2010-12-13 |
| 1982925913 | Bridget Diane Bryan | Pediatrics | 2100 W Iowa Ave, Suite A, Chickasha, OK 73018-2736 | 2010-06-14 |
| 1235459413 | James Stephens | Pain Medicine | 2100 W Iowa Ave, Chickasha, OK 73018-2736 | 2010-06-10 |
| 1023336542 | Abby Marie Housman | Family Medicine | 2100 W Iowa Ave, Suite A, Chickasha, OK 73018-2736 | 2010-05-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821528662 | Cancer Centers of Southwest Oklahoma, LLC | Internal Medicine | 210 South Mary Bailey Drive, Chickasha, OK 73018 | 2017-06-14 |
| 1821535915 | Around The Clock Home Care | In Home Supportive Care | 313 W Chickasha Ave, Chickasha, OK 73018 | 2017-01-26 |
| 1639535537 | Teagan Rae Dorsey | Registered Nurse | 304 S 29th Street, Chickasha, OK 73018 | 2016-01-07 |
| 1578949327 | Megan Griffin | Dentist | 720 West Grand Ave, Chickasha, OK 73018 | 2015-08-04 |
| 1174933709 | Mendy Stone | Case Manager/Care Coordinator | 1820 Wets Idaho Ave, Chickasha, OK 73018 | 2014-05-05 |
| 1407286735 | Martha Allison Shadoan | Social Worker | 804 W. Choctaw, Chickasha, OK 73018 | 2013-11-22 |
| 1225313521 | Shanna Michelle Rice | Counselor | 198 East Almar Drive, Chickasha, OK 73018 | 2011-10-18 |
| 1306016175 | Logsdon Chiropractic, Pllc | Clinic/Center | 1807 S. 9th, Chickasha, OK 73018 | 2008-03-07 |
| 1518148337 | Christopher Lee Ludwell | Chiropractor | 419 Fieldcrest, Chickasha, OK 73018 | 2007-11-20 |
| 1902098270 | Barbara Ann Reilley Schmidt | Pediatrics | 2222 West Iowa, Chickasha, OK 73018 | 2007-08-10 |
| Find all providers in zip 73018 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902098270 | Barbara Ann Reilley Schmidt | Pediatrics | 2222 West Iowa, Chickasha, OK 73018 | 2007-08-10 |
| 1982925913 | Bridget Diane Bryan | Pediatrics | 2100 W Iowa Ave, Suite A, Chickasha, OK 73018-2736 | 2010-06-14 |
| 1518195098 | Ryan Knapp | Pediatrics | 2100 W Iowa Ave, Suite A, Chickasha, OK 73018-2736 | 2009-06-23 |
| 1124099528 | Marian Pilar Escobar | Pediatrics | 2222 W Iowa Ave, Chickasha, OK 73018-2738 | 2006-02-01 |
| 1083696363 | James E Freed | Pediatrics | 2222 W Iowa Ave, Chickasha, OK 73018-2738 | 2005-11-14 |
| 1750362299 | Ervin Ronald Orr | Pediatrics | 2100 W Iowa Ave, Chickasha, OK 73018-2736 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457972366 | Saint Medical Group, LLC | Pediatrics | 3400 S Douglas Blvd Ste 307a, Oklahoma City, OK 73150-1001 | 2020-05-01 |
| 1326674177 | Premier Pediatric and Adolescent Care of Bixby | Pediatrics | 7814 E 121st St, Bixby, OK 74008 | 2020-03-12 |
| 1174180137 | Iorga Pediatrics LLC | Pediatrics | 201 N Monte Vista St Ste C, Ada, OK 74820-7220 | 2019-05-24 |
| 1851868863 | Okc Kids Urology Pllc | Pediatrics | 3705 Nw 63rd St Ste 211, Oklahoma City, OK 73116-1937 | 2018-10-28 |
| 1679067664 | Laurie Ann Alfrey | Pediatrics | 1025 E 18th St, Tulsa, OK 74120-7406 | 2018-06-21 |
| 1700380268 | Katherine Ann Brashears | Pediatrics | 6628 Fawn Canyon Dr, Oklahoma City, OK 73162-6759 | 2018-03-20 |
| 1114468436 | Vanessa Boshuizen | Pediatrics | 12020 E 31st St, Tulsa, OK 74146-2001 | 2017-03-20 |
| 1255870820 | Caitlin Schaede | Pediatrics | 601 E 13th St Ste A, Grove, OK 74344-2962 | 2017-02-15 |
| 1407390115 | Empower Pediatrics | Pediatrics | 9659 Riverside Pkwy, Tulsa, OK 74137-7398 | 2016-12-14 |
| 1528417409 | Valley Family Clinic Inc | Pediatrics | 106 Burr Ave, Pauls Valley, OK 73075-3848 | 2016-06-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.