Susan Terese Gomez, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085.003289 Issued in IL

Practice address

890 E Higgins Rd
Suite 156
Schaumburg, IL 60173-4799

Phone

(224) 653-9000

Fax

(224) 653-8459

NPI assigned

Jul 15, 2010

Last updated

Jul 15, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Suburban Home Physicians,LLC

  • Internal Medicine Physician
  • Schaumburg, IL
  • NPI 1770722407
  NPD (past)

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1083927321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 E HIGGINS RD",
            "address_2": "SUITE 156",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734799",
            "telephone_number": "224-653-9000",
            "fax_number": "224-653-8459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 E HIGGINS RD",
            "address_2": "SUITE 156",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734799",
            "telephone_number": "224-653-9000",
            "fax_number": "224-653-8459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "SUSAN",
        "middle_name": "TERESE",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.003289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Goedjen, MA
• Keri Gold
• Abigail C Goldberg, MA
• Golden Corridor Family Young Men's Christian Association
• Omar Gomez
• Margaret Gong, DMD
• Amy Gonzalez, APN
• Ashley Maxie Gonzalez, LMT
• Aubrie Gonzalez, BCBA
• Diana Gonzalez

• Physician Assistant in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.