Active NPI
Joel Gomez, MD
- Anesthesiology Physician
- Wellington, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 61547
- Practice address
- 12230 W Forest Hill Blvd
Ste 182
Wellington, FL 33414-5700 - Phone
- (561) 798-4221
- NPI assigned
- Jul 21, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 61547 | FL | Primary |
Addresses
Primary practice location
12230 W Forest Hill Blvd
Ste 182
Wellington, FL 33414-5700
Mailing address
804 Scott Nixon Memorial Dr
Augusta, GA 30907-2464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NY
- 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
- Meharry Medical College School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
207 Foote Ave
Jamestown, NY 14701-7077
Phone (716) 487-0141
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61547 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Colleagues Inc | Anesthesiology | Current | Accepting new patients |
| Premier Anesthesia of New York, P.C. | Anesthesiology | Current | Accepting new patients |
| Comprehensive Pain Care of South Florida LLC | Past | Accepting new patients | |
| Premier Anesthesia of Florida LLC | Anesthesiology | Past | Accepting new patients |
Locations
529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797
207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141
2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141
200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Saranac Lake, NY
- NPI 1063658961
-
- Specialist
- Wellington, FL
- NPI 1093993396
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1790330694
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Jamestown, NY
- NPI 1568023687
-
- General Acute Care Hospital
- Jamestown, NY
- NPI 1770573222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193270400000",
"number": "1427079813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 SCOTT NIXON MEMORIAL DR",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309072464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12230 W FOREST HILL BLVD",
"address_2": "STE 182",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334145700",
"telephone_number": "561-798-4221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "JOEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2007-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "61547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.