Suzanne M Gomez-Diaz, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L4954 Issued in TX

Practice address

818 N 4TH St
Longview, TX 95601

Phone

(903) 236-8600

Fax

(903) 236-8605

NPI assigned

Feb 14, 2006

Last updated

Nov 8, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dr. Suzanne Michelle Gomez Former name

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: suzanne.gomez@wchcl.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/AFADCA
• Direct secure messaging: sgomezdiaz239217@christushealth.direct-ci.net

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

• Christus Trinity Clinic Texas

  dba Christus Trinity Clinic

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1285684225

  Pediatrics

  Medicare reassignment NPD
• Christus Trinity Clinic Texas

  dba Christus Trinity Clinic

  • Rural Health Clinic/Center
  • Winnsboro, TX
  • NPI 1801673165
  NPD
• Special Health Resources for Texas, Incorporated

  dba Woman and Child Health Center

  • Federally Qualified Health Center (FQHC)
  • Longview, TX
  • NPI 1922556067
  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1043284375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 N 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "95601",
            "telephone_number": "903-236-8600",
            "fax_number": "903-236-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 N 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "95601",
            "telephone_number": "903-236-8600",
            "fax_number": "903-236-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ-DIAZ",
        "first_name": "SUZANNE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A73474",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L4954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153840702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153840701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "GOMEZ",
            "middle_name": "MICHELLE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandra Glezen
• Alan Glowczwski, M.D.
• Jason Gnasigamany, DO
• Godly Hospice and Palliative Care LLC (Three Oaks Hospice)
• Kelsie Lyn Goller, MA
• Jade Gomillion
• Carmen Marie Gonzales, M.D.
• Peggy A Gonzales, LCDC
• Richard H Gonzales, CP, LPO
• Jeana Kay Gonzalez, CPNP-PC

• Pediatrics Physician in Longview, TX
• Providers in Longview, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.