NPIMap

Organization Active NPI

Carlos Gomez-Meade DO PC

  • MOHS-Micrographic Surgery Physician
  • Tulsa, OK
National Provider Identifier
1245097948
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
Legal business name
CARLOS GOMEZ-MEADE DO PC
Practice address
1440 Terrace Dr
Tulsa, OK 74104-4626
Phone
(918) 239-9966
NPI assigned
Feb 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Mr. Carlos Gomez-Meade DO, DO
Title
Authorized Official
Phone
(918) 884-6623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0101X Primary

Addresses

Primary practice location

1440 Terrace Dr
Tulsa, OK 74104-4626

Mailing address

1440 Terrace Dr
Tulsa, OK 74104-4626
Phone (918) 239-9966

Other practice location 1

5801 E 41st St Ste 220
Tulsa, OK 74135-5627
Phone (918) 884-6623

National Provider Directory

National Provider Directory

Locations

5801 E 41st St
Ste 220
Tulsa, OK 74135
Phone (918) 664-9881

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1245097948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 TERRACE DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044626",
            "telephone_number": "918-239-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 TERRACE DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044626",
            "telephone_number": "918-239-9966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5801 E 41st St Ste 220",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741355627",
            "country_code": "US",
            "telephone_number": "918-884-6623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARLOS GOMEZ-MEADE DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "GOMEZ-MEADE DO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "918-884-6623",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.