DR. FERNANDO GOMEZ M.D. NPI 1669784385

NPI Information

NPI: 1669784385
Provider Name: DR. FERNANDO GOMEZ, M.D.
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

Organization: STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

PECOS Registration: Yes

Address:
2500 NORTH STATE STREET
UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
JACKSON, MS
ZIP 39216
Phone: (601) 984-5200
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DR. Fernando Gomez, M.D. is a pediatric emergency medicine pediatrics in Jackson, MS with 14 years of experience. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. DR. Fernando Gomez, M.D. NPI is 1669784385. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year:2010

The provider's business location address is:

2500 NORTH STATE STREET
UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
JACKSON, MS
ZIP 39216-505
Phone: (601) 984-5200
Fax: (601) 984-2086

The NPI 1669784385 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/10/2010 and was last updated on 12/21/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0204X	Pediatrics	Pediatric Emergency Medicine	22552	MISSISSIPPI	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	294910YR8U	MEDICARE PIN	MISSISSIPPI
2	157213	MEDICAID	ALABAMA
3	294910YWZ1	MEDICARE PIN	MISSISSIPPI
4	2406752	MEDICAID	LOUISIANA
5	09303041	MEDICAID	MISSISSIPPI

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: 11/14/2023

NPI Synchronization or Removal

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