DR. ATANACIO GOMEZ MD NPI 1114456449

NPI Information

  • NPI: 1114456449
  • Provider Name: DR. ATANACIO GOMEZ, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3150 N 12TH ST
    GRAND JUNCTION, CO
    ZIP 81506
  • Phone: (970) 256-5201

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NPI Details

DR. Atanacio Gomez, MD is a family medicine in Grand Junction, CO with 10 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Atanacio Gomez, MD NPI is 1114456449. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SAN JUAN BAUTISTA SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

3150 N 12TH ST
GRAND JUNCTION, CO
ZIP 81506-863
Phone: (970) 256-5201
Fax: (970) 256-5202

The NPI 1114456449 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 6/9/2017 and was last updated on 10/16/2024.

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
1207Q00000XFamily MedicineDR0073285COLORADOYes
2207QS0010XFamily MedicineSports MedicineDR.0073285COLORADONo

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: 11/21/2025

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