Edward Gomez-Seoane, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

EG406295 Issued in MI

Practice address

5060 Villa Linde Parkway
Flint, MI 48532-3411

Phone

(810) 733-5060

Fax

(810) 733-7870

NPI assigned

Aug 22, 2006

Last updated

Dec 4, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Edward Gomez Other name

Medicare fee-for-service enrollment

Enrolled in MI

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edward.gomez@direct.secureehrthomas.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Balance Rehab LLC

  • Physical Therapy Clinic/Center
  • Flint, MI
  • NPI 1629783402
  NPD

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1427164284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 VILLA LINDE PARKWAY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323411",
            "telephone_number": "810-733-5060",
            "fax_number": "810-733-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 VILLA LINDE PARKWAY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323411",
            "telephone_number": "810-733-5060",
            "fax_number": "810-733-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ-SEOANE",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "EG406295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDWARD",
            "last_name": "GOMEZ",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Varun Kumar Golla, MD
• Sylvia Evette Golson, LBSW
• Tia M Golson
• Christopher J Goltz, M.D.
• Kathryn Gomane, DPT
• Silvia T Gomez-Seoane, MD
• Carlos Alberto Gomez, MD
• Hernan F. Gomez, M.D.
• Elizabeth A Gomon, CRNA
• Jessica Gomos, RN

• Family Medicine Physician in Flint, MI
• Providers in Flint, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; 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.