Individual provider Active NPI

Anne Louise Gomez, M.D.

  • Pediatrics Physician
  • St George, UT
National Provider Identifier
1740281799
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
14185785-1235 Issued in UT
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
53127064MedicaidNM
122414912MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, UT, GA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20070828000572 TX Practitioner - Pediatric MedicinePractitioner - Other (Physician) 9335231844 Reassigns benefits to 2 organizations
I20140910000338 NM Practitioner - Pediatric Medicine 9335231844 Reassigns benefits to 1 organization
I20250102003458 UT Practitioner - Pediatric Medicine 9335231844 Reassigns benefits to 1 organization
I20250310003165 GA Practitioner - Pediatric Medicine 9335231844 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso Pediatrics CurrentSince Sep 1, 2016 Accepting new patients
Ihc Health Services, Inc. CurrentSince Nov 3, 2024 Accepting new patients
Deming Hospital Corporation CurrentSince Jan 31, 2020 Accepting new patients
Health Services of Central Georgia, Inc Pediatrics CurrentSince Apr 1, 2025 Accepting new patients
El Paso County Hospital District Pediatrics Current Accepting new patients
Texan Urgent Care PLLC CurrentSince May 14, 2022 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Sep 1, 2016 Accepting new patients
Ihc Health Services, Inc Pediatrics CurrentSince Nov 3, 2024 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
El Paso County Hospital District Hospitalist CurrentSince May 1, 2024 Accepting new patients
Deming Hospital Corporation CurrentSince Jan 31, 2020 Accepting new patients
Los Ninos Pediatric Urgent Care, L.L.C Pediatrics CurrentSince Sep 27, 2020 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

  • Direct secure messaging: agomez2995771@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: 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.

View all 17

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

Verify at the official NPI Registry.