Active NPI
Anne Louise Gomez, M.D.
- Pediatrics Physician
- St George, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 14185785-1235
- Practice address
- 1380 E Medical Center Dr
St George, UT 84790-2123 - Phone
- (435) 251-2730
- NPI assigned
- Aug 2, 2005
- Last updated
- Dec 5, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | K2872 | TX | |
| Pediatrics Physician | 208000000X | MD2013-0976 | NM | |
| Pediatrics Physician | 208000000X | 14185785-1235 | UT | Primary |
| Hospitalist Physician | 208M00000X | K2872 | TX |
Addresses
Primary practice location
1380 E Medical Center Dr
St George, UT 84790-2123
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Other practice location 1
1501 S Don Roser Dr
Las Cruces, NM 88011-4538
Phone (575) 636-5061
Other practice location 2
4845 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 215-5700
Other practice location 3
4815 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 215-5700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53127064 | Medicaid | NM | |
| 122414912 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NM, UT, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center El Paso | Pediatrics | Current | Accepting new patients |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Deming Hospital Corporation | Current | Accepting new patients | |
| Health Services of Central Georgia, Inc | Pediatrics | Current | Accepting new patients |
| El Paso County Hospital District | Pediatrics | Current | Accepting new patients |
| Texan Urgent Care PLLC | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| Ihc Health Services, Inc | Pediatrics | Current | Accepting new patients |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| El Paso County Hospital District | Hospitalist | Current | Accepting new patients |
| Deming Hospital Corporation | Current | Accepting new patients | |
| Los Ninos Pediatric Urgent Care, L.L.C | Pediatrics | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| The Medical Center of Central Georgia Inc | Past | Accepting new patients | |
| Texas Institute of Medicine and Surgery | Pediatrics | Past | Accepting new patients |
| Deming Hospital Corporation | Past | Accepting new patients | |
| Childrens Critical Care Specialists PLLC | Pediatrics | Past | Accepting new patients |
Locations
2490 Riverside Dr
Ste B
Macon, GA 31204
Phone (478) 633-6633
777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600
1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706
905 S 8th St
Deming, NM 88030
Phone (575) 543-7200
1501 S Don Roser Dr
Las Cruces, NM 88011
Phone (575) 525-3980
12371 Edgemere Blvd
#207209
El Paso, TX 79938
Phone (915) 856-0008
4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200
4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000
4845 Alameda Ave
El Paso, TX 79905
Phone (915) 215-5700
9100 Viscount Blvd
El Paso, TX 79925
Phone (915) 594-4475
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
Interoperability endpoints
- agomez2995771@carolinashealthcaresystem.direct-ci.com
- anne.gomez.1@6965.direct.athenahealth.com
Organizations & group practices 17
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
dba Mimbres Valley Medical Group
- Rural Health Clinic/Center
- Deming, NM
- NPI 1134526221
-
dba University Medical Center of EL Paso
- General Acute Care Hospital
- El Paso, TX
- NPI 1316936990
Pediatrics
-
dba Atrium Health Navicent Medical Group
- Multi-Specialty Clinic/Center
- Macon, GA
- NPI 1184679482
Pediatrics
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1598705055
-
- Pediatrics Physician
- Las Cruces, NM
- NPI 1720694169
-
dba North Ogden Clinic
- Family Medicine Physician
- Ogden, UT
- NPI 1548202096
Pediatrics
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
dba Mimbres Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Deming, NM
- NPI 1710196571
-
dba FastMed Urgent Care
- Emergency Medicine Physician
- Scottsdale, AZ
- NPI 1346545209
-
- Pediatrics Physician
- El Paso, TX
- NPI 1003824038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1740281799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128",
"fax_number": "575-524-4266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 E MEDICAL CENTER DR",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847902123",
"telephone_number": "435-251-2730"
}
],
"practiceLocations": [
{
"address_1": "1501 S Don Roser Dr",
"address_purpose": "LOCATION",
"city": "Las Cruces",
"state": "NM",
"postal_code": "880114538",
"country_code": "US",
"telephone_number": "575-636-5061",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4845 Alameda Ave",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799052705",
"country_code": "US",
"telephone_number": "915-215-5700",
"fax_number": "915-215-8872",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4815 Alameda Ave",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799052705",
"country_code": "US",
"telephone_number": "915-215-5700",
"fax_number": "915-215-8872",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOMEZ",
"first_name": "ANNE",
"middle_name": "LOUISE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-02",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "K2872",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NM",
"license": "MD2013-0976",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "UT",
"license": "14185785-1235",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TX",
"license": "K2872",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "53127064",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122414912",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.