Active NPI
Healing and Restoring PLLC
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Niles, MI
National Provider Identifier
1891108148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- License
- 4301089165
- Legal business name
- HEALING AND RESTORING PLLC
- Practice address
- 44 Longmeadow LN
Niles, MI 49120-7802 - Phone
- (269) 262-4229
- NPI assigned
- Jun 4, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jose Elias Gomez, M.D.
- Title
- Chairman
- Phone
- (269) 262-4229
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | 4301089165 | MI | Primary |
Addresses
Primary practice location
44 Longmeadow LN
Niles, MI 49120-7802
Mailing address
44 Longmeadow LN
Niles, MI 49120-7802
Phone (269) 262-4229
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401840000000",
"number": "1891108148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 LONGMEADOW LN",
"city": "NILES",
"state": "MI",
"postal_code": "491207802",
"telephone_number": "269-262-4229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 LONGMEADOW LN",
"city": "NILES",
"state": "MI",
"postal_code": "491207802",
"telephone_number": "269-262-4229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING AND RESTORING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-04",
"last_updated": "2014-06-04",
"status": "A",
"authorized_official_last_name": "GOMEZ",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "ELIAS",
"authorized_official_title_or_position": "CHAIRMAN",
"authorized_official_telephone_number": "269-262-4229",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2083P0011X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "MI",
"license": "4301089165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niles, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.