KELLY A GOMEZ DPM PC (NPI# 1306092812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306092812 |
| Entity Type | Organization |
| Organization Name | KELLY A GOMEZ DPM PC |
| Other Organization Name | ROCKY MOUNTAIN FOOT AND ANKLE |
| Practice Address |
777 N 500 W Suite 105 Provo UT 84601-1541 |
| Practice Telephone | 8013756677 |
| Mailing Telephone | 8013756677 |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2009-07-02 |
| Authorized Official Name | KELLY ALLAN GOMEZ (OWNER/PRESIDENT) |
| Authorized Official Telephone | 8013756677 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
367951 | UT | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Rocky Mountain Foot and Ankle | Doing Business As Name - Organization |
| Street Address |
777 N 500 W SUITE 105 |
| City | PROVO |
| State | UT |
| Zip Code | 84601-1541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699746529 | Jeffrey A Youngquist | Dentist | 777 N 500 W, Suite #201-a, Provo, UT 84601-1541 | 2006-01-30 |
| 1205288586 | Lyndi Jenson | Dentist | 777 N 500 W, Provo, UT 84601-1541 | 2016-07-11 |
| 1922474956 | Rock Canyon Dentistry | Dentist | 777 N 500 W, #105, Provo, UT 84601-1541 | 2015-08-13 |
| 1700295227 | All Around Dental Care, Lc | Dentist | 777 N 500 W, Ste 106, Provo, UT 84601-1541 | 2014-08-08 |
| 1164846044 | Kyle Kone | Marriage & Family Therapist | 777 N 500 W, #104, Provo, UT 84601-1541 | 2014-02-12 |
| 1063833721 | Life Integrative Health Center | Clinic/Center | 777 N 500 W, Suite 104, Provo, UT 84601-1541 | 2013-12-26 |
| 1376985721 | Canyon View Medical Group LLC | Obstetrics & Gynecology | 777 N 500 W, Suite 203, Provo, UT 84601 | 2013-07-26 |
| 1306186952 | Edison Stanford Hearing Aid Center | Hearing Aid Equipment | 777 N 500 W, Suite 005, Provo, UT 84601-1541 | 2013-02-19 |
| 1861755571 | Devin Lynn Davidson | Dentist | 777 N 500 W, Suite 106, Provo, UT 84601-1541 | 2012-06-18 |
| 1932473188 | All Around Dental Care | Dentist | 777 N 500 W, 106, Provo, UT 84601-1541 | 2012-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902378417 | 1 Assist Care of Utah Valley LLC | In Home Supportive Care | 180 N University Avenue, Suite 270, Office 213, Provo, UT 84601 | 2018-12-21 |
| 1346723319 | Mp Dental LLC | Dentist | 777 N. 500 W. #204, Proud, UT 84601 | 2018-09-14 |
| 1326530601 | Madison Paige Nelson | Case Manager/Care Coordinator | 750 N Freedom Blvd., Provo, UT 84601 | 2018-06-03 |
| 1245758861 | Annette Roylance | Case Manager/Care Coordinator | 750 North Freedom Boulevard, Suite 300, Provo, UT 84601 | 2017-09-04 |
| 1912422205 | Alexandra Mcbride | Specialist/Technologist | 35 N 300 W #440, Provo, UT 84601 | 2017-08-07 |
| 1932638293 | Audrey Clara Clifton | Case Manager/Care Coordinator | 750 North Freedom Blvd., Provo, UT 84601 | 2017-06-08 |
| 1528514197 | Joseph Hyrum Lewis | Case Manager/Care Coordinator | 750 Freedom Blvd, Provo, UT 84601 | 2016-09-01 |
| 1629427620 | Walker Clements | Case Manager/Care Coordinator | 750 North Freedom Blvd, Provo, UT 84601 | 2016-06-09 |
| 1447611595 | Robert Shirley | Student in an Organized Health Care Education/Training Program | 750 North 200 West, Provo, Ut 84601., Provo, UT 84601 | 2016-03-17 |
| 1700286283 | Brelynn Downs | Student in an Organized Health Care Education/Training Program | 750 North Freedom Blvde, Provo, UT 84601 | 2014-09-03 |
| Find all providers in zip 84601 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366819112 | Summit Foot and Ankle Specialists | Clinic/Center | 1355 N University Ave, Suite 125, Provo, UT 84604-2721 | 2015-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952893703 | Brockbank Foot & Ankle Clinic PC | Clinic/Center | 9690 S 1300 E Ste 120, Sandy, UT 84094-3798 | 2018-06-06 |
| 1366618688 | Sugarhouse Foot Care Inc | Clinic/Center | 2435 Highland Dr, Salt Lake City, UT 84106-2709 | 2008-05-06 |
| 1487272365 | Cook Foot and Ankle Specialists LLC | Clinic/Center | 935 N 1000 W, Tremonton, UT 84337-9356 | 2020-07-08 |
| 1790243111 | Novacel | Clinic/Center | 4624 S Holladay Blvd Ste 201, Salt Lake City, UT 84117-7168 | 2019-03-05 |
| 1083144406 | Family Foot & Ankle | Clinic/Center | 491 N Main St, Tooele, UT 84074-1654 | 2017-06-18 |
| 1922476282 | Summit Foot and Ankle Specialists | Clinic/Center | 3000 N Triumph Blvd, Suite 340, Lehi, UT 84043-4999 | 2015-09-03 |
| 1629445473 | Summit Foot and Ankle Specialists | Clinic/Center | 336 W 100 S, Spanish Fork, UT 84660-5881 | 2015-08-27 |
| 1467843698 | Ellsworth Foot and Ankle Clinics, LLC | Clinic/Center | 1377 E 3900 S, Suite 100, Salt Lake City, UT 84124-1476 | 2015-02-10 |
| 1710395140 | Arches Foot and Ankle Clinic Pllc | Clinic/Center | 179 N 1200 E Ste 103, Lehi, UT 84043-2255 | 2014-07-29 |
| 1922334317 | Craig J Campbell Dpm PC | Clinic/Center | 5255 S 4015 W, Suite 140, Salt Lake City, UT 84129-4258 | 2009-10-20 |
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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.