Niyaz Gosmanov, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

23935 Issued in OK

Practice address

921 NE 13TH St
Attn:111C
Oklahoma City, OK 73104-5007

Phone

(405) 297-5903

Fax

(405) 297-5934

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1962586446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 NW 170TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730127410",
            "telephone_number": "405-297-5903",
            "fax_number": "405-297-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 NE 13TH ST",
            "address_2": "ATTN:111C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045007",
            "telephone_number": "405-297-5903",
            "fax_number": "405-297-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSMANOV",
        "first_name": "NIYAZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OK",
            "license": "23935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Anne Gorman, LPC
• Andrew K Gormley, MD
• James Gormley
• Michael G Gorton, M.D.
• Camil Gosmanov
• Albina K Gosmanova, M.D.
• Marcus Derrell Goss
• Olivia Grace Goss
• Stephanie Renee Goss, D.C.
• Cleborn Gossett

• Endocrinology, Diabetes & Metabolism Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Endocrinology, Diabetes & Metabolism Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.