Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1518996909 Individual Practitioner Male Practitioner

Dr. Xavier Lopez Gonzalez , MD

Pediatrics • Chickasha, OK

Professional Overview & Biography Verified Profile Summary

Dr. Xavier Gonzalez, MD is a registered healthcare professional specializing in Pediatrics in Chickasha, OK. Practice services are available at 2100 W IOWA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2100 W Iowa Ave

Chickasha, OK 730182736

Telephone 4052242100
Fax 4057792365
Associated Practice Facility / Clinic
🏢 Grady Memorial Hospital Facility NPI 1659302115

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Chickasha, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
7 Specialists

Practicing in Chickasha, OK (730 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA A38332

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License OK 11223

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License NM 76-179

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200023140A (OK)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jacob Boyd , PA-C

Physician Assistant

NPI 1003656448

Physician Assistant (Certified)

Dr. Abby Housman , DO

Family Medicine

NPI 1023336542

Doctor of Osteopathic Medicine (D.O.)

NPI 1073163275

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Andrea Roberts , PA

Physician Assistant

NPI 1144278573

Physician Assistant

NPI 1154655157

Doctor of Osteopathic Medicine (D.O.)

NPI 1174513774

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Business Mailing Address July 25, 2019

Registered at PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 871256666 (Tel: 5059236770)

NPI Profile Active August 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 24, 2017

Registered at 2100 W IOWA AVE, CHICKASHA, OK 730182736 (Tel: 4052242100)

📍
Updated Business Mailing Address August 24, 2017

Registered at 2100 W IOWA AVE, CHICKASHA, OK 730182736 (Tel: 4052242100)

👤
Provider Name / Credentials Updated August 24, 2017

Recorded as XAVIER GONZALEZ, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2017

Pediatrics (License #A38332 in CA)

NPI Profile Active December 19, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location December 19, 2013

Registered at 2100 W IOWA AVE, CHICKASHA, OK 730182736 (Tel: 4052242100)

📍
Updated Business Mailing Address December 19, 2013

Registered at 2100 W IOWA AVE, CHICKASHA, OK 730182736 (Tel: 4052242100)

👤
Provider Name / Credentials Updated December 19, 2013

Recorded as XAVIER GONZALEZ, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2013

Pediatrics (License #11223 in OK)

🟢
Initial NPI Registration & Enumeration June 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Xavier Gonzalez. Be the first to share your experience!

Sign in to leave a review for Dr. Xavier Gonzalez

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1518996909
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2006
Last Update: July 25, 2019
Sole Proprietor: No

Mailing Address

Po Box 26666, Provider Enrollment

Albuquerque, NM 871256666

Phone: 5059236770

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.