NPIMap

Organization Active NPI

Omar a. Gomez, M.D.,P.a.

Doing business as Kid Care Pediatrics

  • Pediatrics Physician
  • Fort Worth, TX
National Provider Identifier
1164541967
Registry record updated Aug 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
OMAR A. GOMEZ, M.D.,P.A.
Doing business as
Kid Care Pediatrics
Practice address
6618 Fossil Bluff Dr
Suite 116
Fort Worth, TX 76137-7533
Phone
(817) 847-6420
Fax
(817) 847-6412
NPI assigned
Mar 29, 2007
Last updated
Aug 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2007

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

Authorized official

Name
Omar A. Gomez, M.D.NPI 1376507673
Title
Owner
Phone
(817) 337-5503

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

6618 Fossil Bluff Dr
Suite 116
Fort Worth, TX 76137-7533

Mailing address

230 N Rufe Snow Dr
Keller, TX 76248-4226
Phone (817) 337-5503

Other names 1

  • Kid Care Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kid Care Pediatrics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6618 Fossil Bluff Dr
Fort Worth, TX 76137

6618 Fossil Bluff Dr
Ste 116
Fort Worth, TX 76137
Phone (817) 847-6420

590 FM 156 S
Ste 100
Haslet, TX 76052
Phone (817) 439-0303

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186012800000",
    "number": "1164541967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N RUFE SNOW DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762484226",
            "telephone_number": "817-337-5503",
            "fax_number": "817-337-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6618 FOSSIL BLUFF DR",
            "address_2": "SUITE 116",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761377533",
            "telephone_number": "817-847-6420",
            "fax_number": "817-847-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAR A. GOMEZ, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-08-02",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-337-5503",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kid Care Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; 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.