DR. SUZANNE M GOMEZ-DIAZ (NPI# 1043284375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043284375 |
| Entity Type | Individual |
| Full Name | DR. SUZANNE M GOMEZ-DIAZ |
| Other Name | DR. SUZANNE MICHELLE GOMEZ |
| Credential | MD |
| Practice Address |
818 N 4th St Longview TX 95601 |
| Practice Telephone | 9032368600 |
| Practice Fax Number | 9032368605 |
| Mailing Telephone | 9032368600 |
| Mailing Fax Number | 9032368600 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2017-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | A73474 | CA | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | L4954 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 153840701 | 05 | |
| TX | 153840702 | 05 |
| Street Address |
818 N 4TH ST |
| City | LONGVIEW |
| State | TX |
| Zip Code | 95601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265062095 | Shelby Lile | Family Medicine | 818 N 4th St, Longview, TX 75601-5433 | 2020-01-21 |
| 1780239376 | Vikki Thomas | Nurse Practitioner | 818 N 4th St, Longview, TX 75601 | 2019-08-09 |
| 1386003036 | Evelyn L Green | Clinic/Center | 818 N 4th St, Longview, TX 75601-5433 | 2016-02-22 |
| 1962807677 | Myles Adamson | Nurse Practitioner | 818 N 4th St, Longview, TX 75601-5433 | 2014-10-24 |
| 1407175987 | Matthew Phillip Compton | Pediatrics | 818 N 4th St, Longview, TX 75601 | 2010-05-24 |
| 1992887384 | Ancor Health Center, Pa | Specialist | 818 N 4th St, Longview, TX 75601-5433 | 2006-10-19 |
| 1215989710 | Elisa Lynn Berry | Nurse Practitioner | 818 N 4th St, Longview, TX 75601 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093953721 | Diana Gay Peck | Social Worker | 14204 Old Hwy 49, Suite 11, Amador, CA 95601 | 2009-02-03 |
| 1962865402 | Amanda Peterson | Marriage & Family Therapist | 7806 Uplands Way, Citrus Heights, CA 95601 | 2016-04-01 |
| 1821296963 | Syed Khurram Zaidi | Internal Medicine | 7551 Madison Ave, Carmichael, CA 95601-4300 | 2007-07-10 |
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407199664 | Longview Pediatrics, Pllc | Pediatrics | 1009 N 4th St Ste B, Longview, TX 75601-4768 | 2013-04-05 |
| 1407086333 | Udeme Ekpenyong | Pediatrics | 818 N. 4th St., Longview, TX 75601 | 2009-07-27 |
| 1295712719 | Samantha Jayne Roworth-chaikin | Pediatrics | 703 E Marshall Ave Ste 4002, Longview, TX 75601-5622 | 2005-12-27 |
| 1750362943 | Hannah G Rishel | Pediatrics | 971 11th Ave, Longview, WA 98632 | 2005-11-07 |
| 1295730968 | Stephen Womack | Pediatrics | 906 N 6th St, Longview, TX 75601-5532 | 2005-06-17 |
| 1407851249 | Christopher E Ihionkhan | Pediatrics | 2304 Judson Rd Ste D, Longview, TX 75605-4675 | 2005-06-17 |
| 1669976528 | Kristi B Bagnell | Pediatrics | 2304 Judson Rd Ste D, Longview, TX 75605-4675 | 2018-03-23 |
| 1578940425 | Mai Nitta | Pediatrics | 1615 Delaware St, Longview, WA 98632-2367 | 2015-04-29 |
| 1457765638 | Jennifer Chu-smith | Pediatrics | 971 11th Ave, Longview, WA 98632-2503 | 2014-06-16 |
| 1467866939 | Jennifer Christine Hollinger | Pediatrics | 971 11th Ave, Longview, WA 98632 | 2014-06-12 |
| Find all providers in LONGVIEW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.