Active NPI
Patrick Gomez, MD
- Otolaryngology Physician
- El Paso, TX
National Provider Identifier
1184664492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- J2580
- Practice address
- 5959 Gateway West
Ste 160
El Paso, TX 79925-3315 - Phone
- (915) 779-5866
- Fax
- (915) 771-6558
- NPI assigned
- Jun 7, 2006
- Last updated
- Sep 29, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | J2580 | TX | Primary |
Addresses
Primary practice location
5959 Gateway West
Ste 160
El Paso, TX 79925-3315
Mailing address
5959 Gateway West
Ste 160
El Paso, TX 79925-3315
Phone (915) 779-1716
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118690001 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J2580 | TX | MD | Otolaryngology Physician |
Interoperability endpoints
- patrickgomez@epentapa.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317254400000",
"number": "1184664492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 GATEWAY WEST",
"address_2": "STE 160",
"city": "EL PASO",
"state": "TX",
"postal_code": "799253315",
"telephone_number": "915-779-1716",
"fax_number": "915-771-6496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5959 GATEWAY WEST",
"address_2": "STE 160",
"city": "EL PASO",
"state": "TX",
"postal_code": "799253315",
"telephone_number": "915-779-5866",
"fax_number": "915-771-6558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "PATRICK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2011-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "J2580",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118690001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.