Mark Edward Gonsky in Bend - Family Medicine

Mark Edward Gonsky - NPI 1841464203

Mark Edward Gonsky is a Family Medicine in Bend, Oregon. Mark Edward Gonsky practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mark Edward Gonsky is 1841464203. The last update date is 2015-09-29.

Mark Edward Gonsky's current location address is 1345 Nw Wall St, Bend, Oregon. You can contact this provider via phone number 5413233960 and fax number 5413233961. The mailing address for Mark Edward Gonsky is 1345 Nw Wall St, Bend, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Edward Gonsky
Address 1345 Nw Wall St, Bend, Oregon
Phone Number 5413233960
Fax Number 5413233961
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1841464203
Provider Enumeration Date 2008-04-16
Last Updated Date 2015-09-29

Provider Mailing Address Detail

Address 1345 Nw Wall St
City Bend
State Oregon (OR)
Post Code 977031970
Phone Number 5413233960
Fax Number 5413233961

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No DO155003
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
500641003 OR --
12271587 OR CAQH ID

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FAQs about Mark Edward Gonsky

What is the Mark Edward Gonsky's unique identification number?

The Mark Edward Gonsky has been assigned the NPI (National Provider Identifier) Number 1841464203 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Mark Edward Gonsky's facilities are situated?

The facilities of Mark Edward Gonsky are physically located at the following address: 1345 Nw Wall St, Bend, OR, 977031970.

What is Mark Edward Gonsky's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mark Edward Gonsky is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1841464203 to Mark Edward Gonsky?

The Centers for Medicare & Medicaid Services assigned the 1841464203 to Mark Edward Gonsky on 2008-04-16.

As of what date was the information pertaining to Mark Edward Gonsky, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Mark Edward Gonsky, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-09-29.

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