Dr. Mars Baldoza Gonzaga , MD
General Practice • Drumright, OK
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mars Gonzaga has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Mars Gonzaga, MD was a registered General Practice practicing in Drumright, OK. Throughout an active medical career spanning 14 years, Dr. Gonzaga provided care at the practice location at 505 W 2ND ST until profile deactivation on 2020-09-08.
Practice Location & Contact Primary Location
505 W 2nd St
Drumright, OK 740304424
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Drumright, OK
Practicing in Drumright, OK (175 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner - Family
Advanced Registered Nurse Practitioner
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 08, 2020
NPI status registered as active in NPPES database
Registered at 505 W 2ND ST, DRUMRIGHT, OK 740304424 (Tel: 9183529565)
Registered at PO BOX 1237, DRIMRIGHT, OK 740304424 (Tel: 9183529565)
Recorded as MARS GONZAGA, MD
General Practice (License #11062 in OK)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 1237
Drimright, OK 740304424
Phone: 9183529565
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