Active NPI
Patricia Katherine Gomuwka, MD
- Plastic Surgery Physician
- Newport News, VA
National Provider Identifier
1598870685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 0101035916
- Practice address
- 12695 McManus Blvd
BLDG 7 Suite a
Newport News, VA 23602 - Phone
- (757) 872-8597
- Fax
- (757) 872-0650
- NPI assigned
- Aug 20, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 0101035916 | VA | Primary |
Addresses
Primary practice location
12695 McManus Blvd
BLDG 7 Suite a
Newport News, VA 23602
Mailing address
12695 McManus Blvd
BLDG 7 Suite a
Newport News, VA 23602-4435
Phone (757) 872-8597
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007169 | Other | VA | ANTHEM |
| 52154 | Other | VA | OPTIMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598870685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12695 MCMANUS BLVD",
"address_2": "BLDG 7 SUITE A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236024435",
"telephone_number": "757-872-8597",
"fax_number": "757-872-0650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12695 MCMANUS BLVD",
"address_2": "BLDG 7 SUITE A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "23602",
"telephone_number": "757-872-8597",
"fax_number": "757-872-0650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMUWKA",
"first_name": "PATRICIA",
"middle_name": "KATHERINE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "VA",
"license": "0101035916",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "007169",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "52154",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.