Dr Luis Ventura Gorospe, MD is a
Surgery physician based in Broken Arrow, Oklahoma. Dr Luis Ventura Gorospe is licensed to practice in Oklahoma (license number 10249) and his current practice location is 705 W Queens St, Broken Arrow, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(918) 252-2800.
NPI number for Dr Luis Ventura Gorospe is 1356377824 and his current mailing address is 1200 W Cherokee St, Wagoner, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356377824.
Physician's Profile
| Full Name | Dr Luis Ventura Gorospe |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 705 W Queens St, Broken Arrow, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1356377824
- Provider Enumeration Date: 06/24/2006
- Last Update Date: 09/09/2013
Medical Identifiers
Medical identifiers for Dr Luis Ventura Gorospe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356377824 | NPI | - | NPPES |
| 100112850A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 10249 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Luis Ventura Gorospe is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Luis Ventura Gorospe, MD
1200 W Cherokee St,
Wagoner, OK 74467-4624
Ph: (918) 485-1240 | Dr Luis Ventura Gorospe, MD
705 W Queens St,
Broken Arrow, OK 74012-1767
Ph: (918) 252-2800 |
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