Rodrigo Gomez Cordero, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

15892 Issued in NE

Practice address

1112 Verges Ave
Norfolk, NE 68701

Phone

(402) 379-8717

Fax

(402) 379-0447

NPI assigned

Dec 20, 2006

Sex

Male

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Nebraska Health and Wellness Clinic LLC

  • General Practice Physician
  • Norfolk, NE
  • NPI 1679047955
  NPD
• Faith Regional Physician Services, LLC

  • Anesthesiology Physician
  • Norfolk, NE
  • NPI 1275074577
  NPD (past)
• Ivy Street Medical LLC

  • Rural Health Clinic/Center
  • Stanton, NE
  • NPI 1487806147
  NPD (past)
• Urgent Care of Omaha Maple LLC

  • Urgent Care Clinic/Center
  • Omaha, NE
  • NPI 1134327687
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506556800000",
    "number": "1144384611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 VERGES AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "68701",
            "telephone_number": "402-379-8717",
            "fax_number": "402-379-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 VERGES AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "68701",
            "telephone_number": "402-379-8717",
            "fax_number": "402-379-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ CORDERO",
        "first_name": "RODRIGO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2017-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "15892",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NE",
            "license": "15892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47080766801",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NE",
            "identifier": "06484",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANS CHOICE",
            "identifier": "2407",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney M. Goetsch, O.D.
• Golden Transitions Inc.
• Jessica Goldman
• Malinda Goldman
• Brandi Goldne
• Karen Gomez
• Claudia Gonzales
• Sabanna R Gonzales
• Leticia Gonzalez Diaz
• Emmanuel Gonzalez

• Surgery Physician in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Surgery Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; 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.