MR. CHARLES D GOMEZ (NPI# 1336582626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336582626 |
| Entity Type | Individual |
| Full Name | MR. CHARLES D GOMEZ |
| Practice Address |
840 Pine St Macon GA 31201-2100 |
| Mailing Address |
11234 Anderson St Gme Office Westerly Suite C Loma Linda CA 92354-2804 |
| Practice Telephone | 4786338060 |
| Practice Fax Number | 4786334080 |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2019-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
83233 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11234 Anderson St, Llumc Dept of Orthopaedics, Loma Linda, CA 923542804 | 9095586444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235676354 | Charles Gomez | Counselor | 350 E Gobbi St, Ukiah, CA 95482-5511 | 2017-01-26 |
| Street Address |
840 PINE ST |
| City | MACON |
| State | GA |
| Zip Code | 31201-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932191582 | Alan N Gordon | Obstetrics & Gynecology | 840 Pine St, Ste 760, Macon, GA 31201-2100 | 2005-08-19 |
| 1164973327 | Patricia Tarver | Nurse Practitioner | 840 Pine St, Suite 880, Macon, GA 31201-2100 | 2016-10-21 |
| 1801243894 | Konstantinos Fountas | Neurological Surgery | 840 Pine St, Suite 880, Macon, GA 31201-2100 | 2016-05-19 |
| 1487000501 | Jessica Knight | Nurse Practitioner | 840 Pine St, Ste 900, Macon, GA 31201-2100 | 2016-05-07 |
| 1932567716 | Kaci Robinson | Nurse Practitioner | 840 Pine St, Ste 510, Macon, GA 31201-2100 | 2016-02-08 |
| 1245648245 | Stephanie Tolliver-epps | Nurse Practitioner | 840 Pine St, Macon, GA 31201-2100 | 2014-07-23 |
| 1518389170 | Jonathan Haynes | Physician Assistant | 840 Pine St, Ste 500, Macon, GA 31201-2100 | 2014-01-15 |
| 1164862710 | Alison M Robbins | Nurse Practitioner | 840 Pine St, Ste 780, Macon, GA 31201-2100 | 2013-06-27 |
| 1932485125 | Children's Neurology Ctr Macon, LLC | Psychiatry & Neurology | 840 Pine St, Ste 970, Macon, GA 31201-2100 | 2011-11-01 |
| 1710290606 | Georgia Neurosurgical Institute Outpatient Surgery Center | Clinic/Center | 840 Pine St, Suite 810, Macon, GA 31201-2100 | 2010-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
| 1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
| 1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
| 1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
| 1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
| 1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
| 1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
| 1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
| 1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
| 1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
| Find all providers in zip 31201 | ||||
| Taxonomy Code | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114362084 | Dell Charlotte Mclaughlin | Orthopaedic Surgery | 5445 Meridian Mark Rd Ste 250, Atlanta, GA 30342-4767 | 2013-05-06 |
| 1942590773 | Crystal Perkins | Orthopaedic Surgery | 1001 Johnson Ferry Rd, Atlanta, GA 30342-1605 | 2011-04-13 |
| 1023247863 | Joshua Murphy | Orthopaedic Surgery | 5445 Meridian Marks Rd, St 250, Atlanta, GA 30342-4763 | 2009-07-14 |
| 1174789689 | Emory Medical Care Foundation Inc | Orthopaedic Surgery | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2008-08-04 |
| 1922263284 | Gilbert Chan | Orthopaedic Surgery | 6 Executive Park Dr Ne Ste 10, Atlanta, GA 30329-2224 | 2008-07-25 |
| 1841405875 | Jed R. Axelrod | Orthopaedic Surgery | 5445 Meridian Marks Rd Ne, Ste 250, Atlanta, GA 30342-4763 | 2007-05-12 |
| 1205983178 | Nicholas David Fletcher | Orthopaedic Surgery | 59 Executive Park South Ne, Suite 2000, Atlanta, GA 30329-2208 | 2007-01-04 |
Please comment or provide details below to improve the information on MR. CHARLES D 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.