DR. MAXIMILIAN GOMEZ-TROCHEZ (NPI# 1467613356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467613356 |
| Entity Type | Individual |
| Full Name | DR. MAXIMILIAN GOMEZ-TROCHEZ |
| Credential | M.D. |
| Practice Address |
51 Depot St Ste 202 Watertown CT 06795-2667 |
| Practice Telephone | 8602742418 |
| Practice Fax Number | 8602742986 |
| Mailing Telephone | 8602742418 |
| Mailing Fax Number | 8602742986 |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2020-02-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 49979 | CT | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 049979 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | GREAT WEST | 05856125 | 01 |
| CT | OXFORD | P4376817 | 01 |
| CT | WELLCARE | 717021/627772 | 01 |
| CT | USA | 1154493 | 01 |
| CT | CIGNA | 5856125 | 01 |
| CT | RAILROAD MEDICARE | P01040202 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 56 Franklin St, Waterbury, CT 067061253 | 2037096000 |
| Street Address |
51 DEPOT ST STE 202 |
| City | WATERTOWN |
| State | CT |
| Zip Code | 06795-2667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063985323 | Watertown Medical Associates, LLC | Internal Medicine | 51 Depot St Ste 202, Watertown, CT 06795-2667 | 2019-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396232187 | Watertown Wellness Center LLC | Community/Behavioral Health | 116 Georgetown Drive, Watertown, CT 06795 | 2018-04-17 |
| 1134569833 | Kara Marie Iacoviello | Occupational Therapist | 18 Wilder St, Watertown, CT 06795 | 2013-06-27 |
| 1821348871 | Pamela D Siemon | Social Worker | 51 Depot St Ste 207, Watertown, CT 06795 | 2012-09-18 |
| 1073891222 | Alexander Pantelis Tinios | Student in an Organized Health Care Education/Training Program | 163 Townline Hwy, Watertown, CT 06795 | 2011-07-21 |
| 1083919757 | Connecticut Music Therapy Services, LLC | Music Therapist | 51 Depot St., Suite 214, Watertown, CT 06795 | 2011-01-11 |
| 1083841456 | Erica Lee Opromollo | Social Worker | 35 Scott Ave, Watertown, CT 06795 | 2009-06-12 |
| 1033306816 | Stone Chiropractic LLC | Chiropractor | 51 Depot Square, Watertown, CT 06795 | 2007-09-26 |
| 1174640205 | Sheila Whitman | Counselor | 686 Main Street, Watertown, CT 06795 | 2007-03-23 |
| 1225146848 | Ronald Joseph Dandrea | Internal Medicine | 51 Depot Street, Watertown, CT 06795 | 2006-08-25 |
| 1417344607 | Peter Anthony Ferrante | Podiatrist | 777 Echo Lake Rd Unit F, Watertown, CT 06795 | 2015-04-25 |
| Find all providers in zip 06795 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376839563 | Terrell Yancy Johnson | Internal Medicine | 590 Main St Unit 205, Watertown, MA 02472-2117 | 2011-06-26 |
| 1235363490 | Ingrid Margot Hall | Internal Medicine | 629 Washington St Ste 2, Watertown, NY 13601-4083 | 2009-05-03 |
| 1700046083 | John P. Moschello, Md, PC | Internal Medicine | 594 Mount Fair Dr, Watertown, CT 06795-1661 | 2008-06-11 |
| 1265639116 | Steven Edward Shamosh | Internal Medicine | 169 Bishop St, Watertown, NY 13601-4603 | 2007-07-02 |
| 1831238625 | Wayne S Wild | Internal Medicine | 705 Mount Auburn Street, Tufts Health Plan, Watertown, MA 02472-1508 | 2007-02-06 |
| 1891843645 | Victor Peter Wasilauskas | Internal Medicine | 10 Brookview Cir, Watertown, CT 06795-1231 | 2007-01-08 |
| 1700964848 | Martha N Martents | Internal Medicine | 48 Summer Street, Suite 1, Watertown, MA 02472-3815 | 2006-11-02 |
| 1043396112 | Gerald George Fette | Internal Medicine | 246 Winding Brook Farm Road, Watertown, CT 06795-0144 | 2006-10-31 |
| 1225146848 | Ronald Joseph Dandrea | Internal Medicine | 51 Depot Street, Watertown, CT 06795 | 2006-08-25 |
| 1407960990 | Stephen R Rubenstein | Internal Medicine | 70 Heminway Park Rd, Watertown, CT 06795-2612 | 2006-08-19 |
| Find all providers in WATERTOWN | ||||
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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.