Individual provider Active NPI

Gloria Martz, D.O.

  • Psychiatry Physician
  • Lawrenceburg, IN
National Provider Identifier
1104267236
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
5593 Issued in OK
Practice address
285 Bielby Rd
Lawrenceburg, IN 47025-1096
Phone
(812) 537-1302
NPI assigned
Jul 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 5593 OK
Psychiatry Physician 2084P0800X 5593 OK Primary

Addresses

Primary practice location

285 Bielby Rd
Lawrenceburg, IN 47025-1096

Mailing address

3030 NW Expressway Ste 300
Oklahoma City, OK 73112-5400

Other practice location 1

101 Gibbs Drive
Norman, OK 73070
Phone (405) 360-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141121002116 OK Practitioner - Psychiatry 1557683851 Reassigns benefits to 1 organization
I20200117000867 IN Practitioner - Psychiatry 1557683851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of OklahomaGroup PAC ID 4486558962, 99 clinicians

Practice addresses (Care Compare)

909 Alameda St
Norman, OK 73071-5229
Phone (405) 360-5100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Community Mental Health Center Inc CurrentSince Mar 2, 2020 Accepting new patients
State of Oklahoma CurrentSince Oct 4, 2014 Accepting new patients
State of Oklahoma CurrentSince Oct 4, 2014 Accepting new patients
State of Oklahoma Current Accepting new patients
State of Oklahoma Past Accepting new patients
State of Oklahoma Past Accepting new patients

Locations

281 Bielby Rd
Lawrenceburg, IN 47025
Phone (812) 537-7378

285 Bielby Rd
Lawrenceburg, IN 47025
Phone (812) 537-1302

900 E Main St
Norman, OK 73071
Phone (405) 321-4880

909 Alameda St
Norman, OK 73071
Phone (405) 573-3812

2323 S Harvard Ave
Tulsa, OK 74114
Phone (918) 293-2140

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1104267236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 NW EXPRESSWAY STE 300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 BIELBY RD",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470251096",
            "telephone_number": "812-537-1302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Gibbs Drive",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "73070",
            "country_code": "US",
            "telephone_number": "405-360-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTZ",
        "first_name": "GLORIA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OK",
            "license": "5593",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "5593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, IN

Sources for this page

Verify at the official NPI Registry.