Jonathan Christian Gomez, IDMT

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

2444 Cassidy Rd
Fort Bliss, TX 79916-3500

Phone

(915) 568-8755

NPI assigned

Sep 5, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1598190878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 CARSWELL AVE",
            "address_2": "BLDG 340",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891917069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2444 CASSIDY RD",
            "city": "FORT BLISS",
            "state": "TX",
            "postal_code": "799163500",
            "telephone_number": "915-568-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "JONATHAN",
        "middle_name": "CHRISTIAN",
        "credential": "IDMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-05",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan Marie Gibson
• Lauren Gibson, LCSW
• Kathy Megler Gilyard, PH.D.
• Allen Gladieux
• Roger Dale Glenn, D.D.S.
• Luis Angel Gomez
• Julia Gonzalez
• Koby W Gooden, LCSW
• Brittany Elise Goos, PTA
• Brendan Christopher Graham, M.D.

• Independent Duty Medical Technicians in Fort Bliss, TX
• Providers in Fort Bliss, TX by specialty
• Independent Duty Medical Technicians in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.