Luis Fernando Gomez, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME70831 Issued in FL

Practice address

23 Mack Bayou Loop
Suite 200
Santa Rosa Beach, FL 32459-2606

Phone

(850) 278-3920

NPI assigned

Feb 28, 2006

Sex

Male

Sole proprietor

No

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.

• Sacred Heart Health System, Inc.

  • Ambulatory Family Planning Facility
  • Pensacola, FL
  • NPI 1962453308

  FL

  Medicare reassignment NPD
• Sacred Heart Health System Inc

  • Community/Retail Pharmacy
  • Pensacola, FL
  • NPI 1366260739
  NPD
• Sacred Heart Health System, Inc.

  • Family Medicine Physician
  • Pensacola, FL
  • NPI 1144271586
  NPD
• Abc Pediatrics

  • Pediatrics Physician
  • Niceville, FL
  • NPI 1548286552

  Pediatrics

  NPD (past)

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10590/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/GGGFBD/Endpoint/GGGFBD

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 24, 2015.

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1265408397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2699",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325132699",
            "telephone_number": "850-475-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MACK BAYOU LOOP",
            "address_2": "SUITE 200",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324592606",
            "telephone_number": "850-278-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "LUIS",
        "middle_name": "FERNANDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME70831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlene Giaconia
• Angela Marie Gibson, PTA
• Kasey Gilliss, DC
• Gill David Gladding
• Hillary Louise Glenn, DNP, ARNP-BC
• Sean Goynes
• Gene Greenlees, MD
• Wendy Sheffield Greenlees, ARNP
• Anuar De Jesus Guevara Cruz
• Gulf Grins LLC

• All providers in Santa Rosa Beach, FL
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.