Active NPI
Heidi Sophia Gomes, M.D.
- Pediatrics Physician
- Plymouth, MA
National Provider Identifier
1891765665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 265095
- Practice address
- 139 Sandwich St
Plymouth, MA 02360 - Phone
- (508) 746-5900
- Fax
- (508) 747-2290
- NPI assigned
- Jan 25, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA07725400 | NJ | |
| Pediatrics Physician | 208000000X | MD14456 | RI | |
| Pediatrics Physician | 208000000X | 265095 | MA | Primary |
Addresses
Primary practice location
139 Sandwich St
Plymouth, MA 02360
Mailing address
139 Sandwich St
Plymouth, MA 02360-2449
Phone (508) 746-5900
Other practice location 1
Corner of Route N12 and N7
Fort Defiance, AZ 86504-0649
Phone (928) 729-8000
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD14456 | RI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Center for Wellness | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- heidi.gomes.1@27723.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Conyers, GA
- NPI 1437416708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572998400000",
"number": "1891765665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 SANDWICH ST",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023602449",
"telephone_number": "508-746-5900",
"fax_number": "508-747-2290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 SANDWICH ST",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "02360",
"telephone_number": "508-746-5900",
"fax_number": "508-747-2290"
}
],
"practiceLocations": [
{
"address_1": "Corner of Route N12 and N7",
"address_purpose": "LOCATION",
"city": "Fort Defiance",
"state": "AZ",
"postal_code": "865040649",
"country_code": "US",
"telephone_number": "928-729-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOMES",
"first_name": "HEIDI",
"middle_name": "SOPHIA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-25",
"last_updated": "2019-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA07725400",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "RI",
"license": "MD14456",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "265095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.