Edward R. Gomez, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

H3816 Issued in TX

Practice address

1700 N Oregon St
Ste. 550
El Paso, TX 79902-3584

Phone

(915) 532-7797

Fax

(915) 544-9733

NPI assigned

Sep 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Elite OB-GYN Services of El Paso, PLLC

  • Obstetrics & Gynecology Physician
  • El Paso, TX
  • NPI 1780069138
  NPD (past)

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1528165289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 GATEWAY BLVD W",
            "address_2": "STE. 120",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253331",
            "telephone_number": "915-779-1716",
            "fax_number": "915-771-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N OREGON ST",
            "address_2": "STE. 550",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023584",
            "telephone_number": "915-532-7797",
            "fax_number": "915-544-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "EDWARD",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "H3816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00679D",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Ann Gomez, O,T,
• Delia Lorena Gomez, CFY-SLP
• Denise Gomez
• Desirae Gomez
• Dominic Gomez
• Elia Elisa Gomez
• Eric Gomez
• Erica Lizette Gomez, LVN
• Estrella Gomez
• Gilberto Gomez, M.D.

• Vascular Surgery Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Vascular Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.