Active NPI
Mark A Gomes
- Sonography Radiologic Technologist
- Spring Hill, FL
National Provider Identifier
1891542205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Radiologic Technologist
- License
- 151966
- Practice address
- 11014 Maderia St
Spring Hill, FL 34608-4966 - Phone
- (352) 263-1383
- NPI assigned
- May 2, 2024
- Last updated
- May 2, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Radiologic Technologist | 2471S1302X | 151966 | FL | Primary |
Addresses
Primary practice location
11014 Maderia St
Spring Hill, FL 34608-4966
Mailing address
11014 Maderia St
Spring Hill, FL 34608-4966
Phone (352) 263-1383
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 151966 | FL | MD | Sonography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1891542205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11014 MADERIA ST",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346084966",
"telephone_number": "352-263-1383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11014 MADERIA ST",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346084966",
"telephone_number": "352-263-1383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMES",
"first_name": "MARK",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-02",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "2471S1302X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Sonography",
"state": "FL",
"license": "151966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Hill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.