Active NPI
Louis Gombkoto, PAC
- Physician Assistant
- Ocala, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9103606
- Practice address
- 1500 SW 1St Ave
Ocala, FL 34474-4004 - Phone
- (352) 351-3407
- Fax
- (352) 351-3407
- NPI assigned
- Jul 18, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9103606 | FL | Primary |
Addresses
Primary practice location
1500 SW 1St Ave
Ocala, FL 34474-4004
Mailing address
7101 W Anthony Rd
#89
Ocala, FL 34479-1300
Phone (305) 321-6142
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9103606 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inphynet Contracting Services LLC | Physician Assistant | Current | Accepting new patients |
| The Pathology Group of Northwest Florida PLLC | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Vivid Pathology PA | Current | Accepting new patients | |
| Holmes County Hospital Corp | Current | Accepting new patients | |
| Blue Wave Emergency Physicians LLC | Past | Accepting new patients | |
| Pensacola Emergency Physicians, LLC | Past | Accepting new patients | |
| North Florida Emergency Physicians | Past | Accepting new patients | |
| Florida Em-I Medical Services PA | Past | Accepting new patients | |
| Palm Harbor Emergency Physicians | Past | Accepting new patients | |
| Dolphin Emergency Physicians LLC | Past | Accepting new patients | |
| Florida Em-I Medical Services PA | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2600 Hospital Dr
Bonifay, FL 32425
Phone (850) 416-6484
7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603
123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011
5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700
951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511
3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 16
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.
-
- Emergency Medicine Physician
- Miramar Beach, FL
- NPI 1295442614
-
dba Doctors Memorial Hospital
- Critical Access Hospital
- Bonifay, FL
- NPI 1366431702
-
dba Panhandle Emergency Physicians
- Emergency Medicine Physician
- Pensacola, FL
- NPI 1215948096
-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1346937331
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
dba Bonifay Rural Health Clinic
- Rural Health Clinic/Center
- Bonifay, FL
- NPI 1952917015
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
Physician Assistant
-
- Anatomic Pathology & Clinical Pathology Physician
- Pensacola, FL
- NPI 1114153269
-
- Anatomic Pathology & Clinical Pathology Physician
- Pensacola, FL
- NPI 1760738611
-
- Emergency Medicine Physician
- Panama City, FL
- NPI 1093064628
-
- Emergency Medicine Physician
- Ocala, FL
- NPI 1871542712
-
- Emergency Medicine Physician
- Hudson, FL
- NPI 1740206291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467470237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7101 W ANTHONY RD",
"address_2": "#89",
"city": "OCALA",
"state": "FL",
"postal_code": "344791300",
"telephone_number": "305-321-6142",
"fax_number": "727-507-3618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SW 1ST AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344744004",
"telephone_number": "352-351-3407",
"fax_number": "352-351-3407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMBKOTO",
"first_name": "LOUIS",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9103606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.