Individual provider Active NPI

Fernando L. Gomez, MD

  • Reproductive Endocrinology Physician
  • Orlando, FL
National Provider Identifier
1699705442
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
ME78577 Issued in FL
Practice address
7806 Lake Underhill Rd
Suite 105
Orlando, FL 32822-8232
Phone
(407) 281-9229
Fax
(407) 207-7180
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X ME78577 FL Primary

Addresses

Primary practice location

7806 Lake Underhill Rd
Suite 105
Orlando, FL 32822-8232

Mailing address

7806 Lake Underhill Rd
Suite 105
Orlando, FL 32822-8232
Phone (407) 281-9229

Other identifiers 1

IdentifierTypeStateIssuer
264214000MedicaidFL

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

State licenses

LicenseStateTypeSpecialty
ME78577FLMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cny Fertility Center Reproductive Endocrinology Past Accepting new patients
Fernando L Gomez MD PA Reproductive Endocrinology PastSince Jan 1, 2005 Accepting new patients
Edouard J Servy MD PC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1699705442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7806 LAKE UNDERHILL RD",
            "address_2": "SUITE 105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228232",
            "telephone_number": "407-281-9229",
            "fax_number": "407-207-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7806 LAKE UNDERHILL RD",
            "address_2": "SUITE 105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228232",
            "telephone_number": "407-281-9229",
            "fax_number": "407-207-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "FERNANDO",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "FL",
            "license": "ME78577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264214000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.