Active NPI
Amanda Marie Gomes, MD
- Critical Care Medicine (Anesthesiology) Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Anesthesiology) Physician
- License
- 25844
- Practice address
- 3300 NW Expressway
Oklahoma City, OK 73112-4418 - Phone
- (405) 949-3011
- Fax
- (405) 848-3210
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25844 | OK | |
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 25844 | OK | Primary |
Addresses
Primary practice location
3300 NW Expressway
Oklahoma City, OK 73112-4418
Mailing address
5300 N Independence Ave
Oklahoma City, OK 73112-5556
Phone (405) 949-3011
Other practice location 1
920 Stanton L Young Blvd # Wp1140
Oklahoma City, OK 73104-5036
Phone (405) 271-4351
Other names 1
- Amanda Marie Russell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Oklahoma College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1350 S Kings Dr
Charlotte, NC 28207-2134
Phone (704) 355-7328
500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 277-9164
900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065
Hospital & facility affiliations
- O U Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25844 | OK | MD | Critical Care Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Healthfirst Physicians Management Services, Inc | Current | Accepting new patients | |
| Scotland Regional Health Network | Current | Accepting new patients | |
| Board of Regents of the University of Oklahoma - Ou Physicians | Current | Accepting new patients | |
| Trinity Regional Medical Center | Current | Accepting new patients | |
| Integris Ambulatory Care Corporation | Current | Accepting new patients | |
| Board of Regents of the University of Oklahoma - Ou Physicians | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Carle Health Care Incorporated | Anesthesiology | Current | Accepting new patients |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Northwest Iowa Hospital Corporation | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Veeone Medical Group PA | Current | Accepting new patients | |
| Scotland Regional Health Network | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Trinity Medical Center | Current | Accepting new patients |
Locations
1420 E Roseville Pkwy
Ste 140519
Roseville, CA 95661
4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724
2730 Pierce St
Ste 401
Sioux City, IA 51104
2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200
1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227
1370 W D St
North Wilkesboro, NC 28659
Phone (336) 651-8100
3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815
920 Stanton L Young Blvd
#1140
Oklahoma City, OK 73104
Phone (405) 271-4515
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
5300 N Independence Ave
Oklahoma City, OK 73112
Phone (405) 945-4500
825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864
3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589
1000 N Lee Ave
Rm 1921
Oklahoma City, OK 73102
Phone (405) 272-6053
7633 E 63rd Pl
Ste 300
Tulsa, OK 74133
Phone (888) 637-9669
Interoperability endpoints
- agomes1104164@direct.unitypoint.org
- agomes2900442@carolinashealthcaresystem.direct-ci.com
- agomes529903@direct-ehr-ssmhc.com
Organizations & group practices 19
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.
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1275774333
-
- Hospitalist Physician
- Laurinburg, NC
- NPI 1972829562
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1801869250
-
- Hospitalist Physician
- Oklahoma City, OK
- NPI 1891962460
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1750333936
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
Anesthesiology, OK
-
- Emergency Medical Services (Emergency Medicine) Physician
- Sioux City, IA
- NPI 1215962550
OK
-
- Critical Care Medicine (Internal Medicine) Physician
- Roseville, CA
- NPI 1265156558
OK
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576195200000",
"number": "1407902174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 N INDEPENDENCE AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731125556",
"telephone_number": "405-949-3011",
"fax_number": "405-848-3210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 NW EXPRESSWAY",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124418",
"telephone_number": "405-949-3011",
"fax_number": "405-848-3210"
}
],
"practiceLocations": [
{
"address_1": "920 Stanton L Young Blvd # Wp1140",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731045036",
"country_code": "US",
"telephone_number": "405-271-4351",
"fax_number": "405-271-8695",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOMES",
"first_name": "AMANDA",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2019-12-13",
"certification_date": "2019-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OK",
"license": "25844",
"primary": false
},
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "OK",
"license": "25844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "RUSSELL",
"middle_name": "MARIE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.