Active NPI
Eduardo Gomez, CRNA
- Certified Registered Nurse Anesthetist
- North Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1366882
- Practice address
- 2047 NE 121St Rd
North Miami, FL 33181-3306 - Phone
- (305) 951-8371
- Fax
- (305) 868-3731
- NPI assigned
- Oct 28, 2010
- Last updated
- Sep 3, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1366882 | FL | Primary |
Addresses
Primary practice location
2047 NE 121St Rd
North Miami, FL 33181-3306
Mailing address
2047 NE 121St Rd
North Miami, FL 33181-3306
Phone (305) 951-8371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Kissimmee, FL 34746
Phone (407) 361-6374
665 S Apollo Blvd
Melbourne, FL 32901-1485
Phone (321) 821-7446
921 N Main St
Kissimmee, FL 34744-4570
Phone (407) 933-7800
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.72 of 100
- Quality
- 88.38
- Improvement activities
- 40
- Cost
- 44.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1366882 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sleep Well Anesthetists | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North Tampa Anesthesia Consultants | Current | Accepting new patients | |
| Brevard Eye Center | Current | Accepting new patients | |
| Florida Pain Relief Group PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Brevard Eye Center, Inc | Current | Accepting new patients | |
| Physician Partners of America Crna Operations LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
10301 Hagen Ranch Rd
Ste B270
Boynton Beach, FL 33437
Phone (561) 853-1001
921 N Main St
Ste 203
Kissimmee, FL 34744
Phone (407) 361-6374
2200 W Eau Gallie Blvd
Ste 100
Melbourne, FL 32935
Phone (321) 344-0930
665 S Apollo Blvd
Melbourne, FL 32901
Phone (321) 676-1700
8240 Devereux Dr
Ste 100
Melbourne, FL 32940
Phone (317) 805-4102
10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002
1402 W Fletcher Ave
Tampa, FL 33612
Phone (813) 627-4723
3450 E Fletcher Ave
Ste 350
Tampa, FL 33613
Phone (813) 739-7493
4730 N Habana Ave
Ste 104
Tampa, FL 33614
Phone (813) 426-8260
Organizations & group practices 7
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.
-
- Ophthalmology Physician
- Melbourne, FL
- NPI 1558456681
-
- Certified Registered Nurse Anesthetist
- Kissimmee, FL
- NPI 1033978366
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Orlando, FL
- NPI 1073408514
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Tampa, FL
- NPI 1376994608
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1144216433
-
- Anesthesiology Physician
- Hurst, TX
- NPI 1992129365
FL, Nurse Anesthetist, Certified Registered
-
- Eyewear Supplier
- Merritt Island, FL
- NPI 1194940569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378166400000",
"number": "1124328851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2047 NE 121ST RD",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331813306",
"telephone_number": "305-951-8371",
"fax_number": "305-868-3731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2047 NE 121ST RD",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331813306",
"telephone_number": "305-951-8371",
"fax_number": "305-868-3731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "EDUARDO",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-28",
"last_updated": "2013-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "1366882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.