Emilia Elizabeth Gomez Vieytez, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

43623 Issued in AZ

Practice address

22707 S. Ellsworth Rd H 101
Queen Creek, AZ 85143

Phone

(480) 792-9200

Fax

(480) 792-9206

NPI assigned

Dec 17, 2007

Last updated

Dec 30, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Coolidge Pediatrics

  • Pediatrics Physician
  • Coolidge, AZ
  • NPI 1700373180
  NPD Authorized official
• Bethesda Pediatrics of Queen Creek

  dba Pediatrics of Queen Creek

  • Pediatrics Physician
  • Queen Creek, AZ
  • NPI 1063727766
  NPD (past)
• Bethesda Pediatrics of Queen Creek

  dba Main Street Pediatrics

  • Pediatrics Physician
  • Mesa, AZ
  • NPI 1073102976
  NPD (past)

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1790969426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22707 S. ELLSWORTH RD H 101",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "85143",
            "telephone_number": "480-792-9200",
            "fax_number": "480-792-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22707 S. ELLSWORTH RD H 101",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "85143",
            "telephone_number": "480-792-9200",
            "fax_number": "480-792-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ VIEYTEZ",
        "first_name": "EMILIA",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-17",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "43623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAINING PERMIT",
            "identifier": "80764",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ MEDICAL BOARD LICENSE",
            "identifier": "43623",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madisyn Gilbert Conn
• Nadia Chenell Gill, B.A. BHT, NAC
• Mitchell J Gold, MD
• Golden Horizon Care LLC
• Golden Living Homes LLC
• Jayson P Gomez, PHARMD
• Michael Gomez
• Veronica Gonzalez
• Good Health Medical, PLLC (My Dr Now)
• Good Health Medical, PLLC (My Dr Now)

• Pediatrics Physician in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.