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AGNES GOMES MD NPI 1659371607


NPI Information

NPI: 1659371607
Provider Name: AGNES GOMES, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
2444 W FAIDLEY AVE
GRAND ISLAND, NE
ZIP 68803
Phone: (308) 382-1100
Get Directions

Agnes Gomes, MD is a pediatrics in Grand Island, NE. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Agnes Gomes, MD NPI is 1659371607. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2444 W FAIDLEY AVE
GRAND ISLAND, NE
ZIP 68803-327
Phone: (308) 382-1100
Fax: (308) 385-0796

The enumeration date for this NPI number is 7/29/2005 and was last updated on 11/5/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics13219NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
147017633037MEDICAIDNEBRASKA
2E55173MEDICARE UPINNEBRASKA
30282840001MEDICARE NSCNEBRASKA
4270724MEDICARE PINNEBRASKA
500819OTHERNEBRASKABCBS
65931OTHERNEBRASKAMIDLANDS CHOICE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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