MR. LUIS GERARDO GOMEZ (NPI# 1316977994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316977994 |
Entity Type | Individual |
Full Name | MR. LUIS GERARDO GOMEZ |
Credential | PA-C |
Practice Address |
3015 N Ballas Rd Saint Louis MO 63131-2329 |
Mailing Address |
416 Terrington Dr Ballwin MO 63021-4416 |
Practice Telephone | 3149967033 |
Mailing Telephone | 6362309668 |
Enumeration Date | 2006-07-03 |
Last Update Date | 2015-01-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
111558 | MO | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245716067 | Luis Gomez | Nurse Practitioner | 1522 Springleaf Dr, Ormond Beach, FL 32174-7314 | 2018-07-15 |
1164871091 | Luis Gomez | Case Manager/Care Coordinator | 1415 Truxtun Avenue, Bakersfield, CA 93305 | 2016-06-10 |
1568626224 | Luis C B Gomez | Dentist | 232 3rd Avenue, Suite A, Chula Vista, CA 91910 | 2008-07-11 |
1689899452 | Luis Fernando Gomez | Dentist | 4651 N State Road 7 Ste 4, Coconut Creek, FL 33073-4378 | 2007-04-16 |
1265408397 | Luis Fernando Gomez | Pediatrics | 23 Mack Bayou Loop, Suite 200, Santa Rosa Beach, FL 32459-2606 | 2006-02-28 |
1538570460 | Luis Felipe Gomez | Student in an Organized Health Care Education/Training Program | 6565 Fannin St, Mgj9-002, Houston, TX 77030-2703 | 2014-05-14 |
1487931408 | Luis Alfonso Gomez Jr. | Social Worker | 3600 Jerome Ave, Fegs Bronx Pros, Bronx, NY 10467-1052 | 2011-11-04 |
1982932810 | Luis Gomez | Counselor | 2535 Kettner Blvd, Suite 1a4, San Diego, CA 92101-1250 | 2009-12-04 |
1467610774 | Luis M Gomez | Obstetrics & Gynecology | 880 Madison Ave, Suite 3c, Memphis, TN 38103-3409 | 2008-05-23 |
1659551828 | Luis Micheal Gomez | Community Health Worker | 313 W 143rd St, 1a, New York, NY 10030-1203 | 2007-11-05 |
Street Address |
3015 N BALLAS RD |
City | SAINT LOUIS |
State | MO |
Zip Code | 63131-2329 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861497604 | Allen D Baudendistel | Anesthesiology | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2005-06-17 |
1790392991 | Jessica E. Steffens | Advanced Practice Midwife | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-09-30 |
1780298711 | Courtney Mcghee | Pharmacist | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-09-08 |
1568074466 | Stephanie Chen | Pharmacist | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-08-20 |
1720696628 | Missouri Baptist Medical Center | Clinical Medical Laboratory | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-07-16 |
1952928665 | Rebecca Goodwillie | Nurse Practitioner | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-06-29 |
1487275160 | Emily Beth Anderson | Registered Nurse | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-05-04 |
1144841461 | Demitra Marie Nichoalds | Registered Nurse | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-04-27 |
1992334676 | Brian Christopher Ritter | Registered Nurse | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-04-05 |
1851927180 | Laura Beth Mulcahy | Midwife | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-03-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568097954 | Avalcare Inc | Pharmacy | 10431 Clayton Rd, Saint Louis, MO 63131 | 2020-03-06 |
1891331369 | Life Clinic of Mo Dc PC | Chiropractor | 2051 South Lindbergh Blvd, Frontenac, MO 63131 | 2019-11-20 |
1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
1730695362 | Curators of The University of Missouri | Psychologist | 12837 Flushing Meadows Drive, Sutie 220, Town and Country, MO 63131 | 2017-12-19 |
1770012031 | Danielle Marie Hargate | Specialist/Technologist | 732 Timber Trail, Frontenac, MO 63131 | 2017-06-08 |
1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
1437524360 | Julie Ann Godefroid | Nurse Practitioner | 1010 Old Des Peres Road, St. Louis, MO 63131 | 2015-12-03 |
1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
Find all providers in zip 63131 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891227393 | Hollis Smith | Physician Assistant | 2015 Maplewood Commons Dr, Saint Louis, MO 63143-1003 | 2017-04-03 |
1649397894 | Rachel S Tarr | Physician Assistant | 2208 Richert Pl, Saint Louis, MO 63143-2522 | 2007-03-23 |
1528198439 | Jonathan Adam Pellechia | Physician Assistant | 11155 Dunn Rd Ste 315e, Saint Louis, MO 63136-6111 | 2007-03-07 |
1376174417 | Robert Cory Proffer | Physician Assistant | 607 S New Ballas Rd Ste 2300, Saint Louis, MO 63141-8234 | 2020-01-28 |
1881246502 | Ariel Ashley Schnell | Physician Assistant | 3655 Vista Ave, Saint Louis, MO 63110-2539 | 2019-07-12 |
1194296186 | Jacob Bast | Physician Assistant | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2018-12-17 |
1508335779 | Gerard Forster | Physician Assistant | 12647 Olive Blvd Ste 600, Saint Louis, MO 63141-6346 | 2018-11-17 |
1124509773 | Sara Burke Connolly | Physician Assistant | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2018-08-22 |
1831675545 | Kyle Patrick Mclafferty | Physician Assistant | 11133 Dunn Rd, Saint Louis, MO 63136-6163 | 2018-07-16 |
1649768995 | Paul Thomas Mrotek | Physician Assistant | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2018-04-23 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63131 |
Please comment or provide details below to improve the information on MR. LUIS GERARDO GOMEZ.
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.