Healing and Restoring PLLC

Primary specialty

Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X

License

4301089165 Issued in MI

Legal business name

HEALING AND RESTORING PLLC

Practice address

8704 N. Bluffview Drive
Berrien Springs, MI 49103

Phone

(269) 262-4229

Fax

(269) 329-2290

NPI assigned

Feb 18, 2016

Last updated

Feb 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jose Elias Gomez, M.D.

Title

President

Phone

(269) 635-3322

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1396104303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8704 N BLUFFVIEW DR",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031100",
            "telephone_number": "269-262-4229",
            "fax_number": "269-329-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8704 N. BLUFFVIEW DRIVE",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "49103",
            "telephone_number": "269-262-4229",
            "fax_number": "269-329-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING AND RESTORING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ELIAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-635-3322",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "MI",
            "license": "4301089165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Berrien Springs, MI
• Providers in Berrien Springs, MI by specialty
• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.