Richard Gomez MD PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

9341A Issued in WY

Legal business name

RICHARD GOMEZ MD PC

Practice address

150 Buffalo Way
Jackson, WY 83002-2530

Phone

(307) 733-8677

NPI assigned

Dec 13, 2013

Organization subpart

No

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

Authorized official

Name

Richard Gomez, MD

Title

Owner

Phone

(480) 685-7965

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1477974608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3706",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834033706",
            "telephone_number": "208-525-2090",
            "fax_number": "208-523-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BUFFALO WAY",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830022530",
            "telephone_number": "307-733-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD GOMEZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-685-7965",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "WY",
            "license": "9341A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Cloetta DDS PC
• Jennifer Reid, PLCSW
• Ann Rendall
• Cheryl Ann Renzulli, MA, LAT
• Barron Justin Reyes, M.D.
• Griffin Louisa Richards
• Alice Eve L Richter, DDS
• Travis John Riddell, M.D.
• Elizabeth Wilson Ridgway, MD
• Paula Jo Ridgway, D.D.S.

• Anesthesiology Physician in Jackson, WY
• Providers in Jackson, WY by specialty
• Anesthesiology Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.