MS. TASHIKA GOMEZ


Address: 428 S Alvord St, Syracuse, NY 13208-2720
Phone: 3154354210

MS. TASHIKA GOMEZ (NPI# 1053575829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053575829
Entity Type Individual
Full Name MS. TASHIKA GOMEZ
Credential PNP
Practice Address 428 S Alvord St
Syracuse
NY 13208-2720
Practice Telephone 3154354210
Practice Fax Number 3154354993
Mailing Telephone 3154354210
Mailing Fax Number 3154354993
Enumeration Date 2008-07-10
Last Update Date 2017-05-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
382654 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 428 S ALVORD ST
City SYRACUSE
State NY
Zip Code 13208-2720

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992085666 Dominique Rene Jones Speech-Language Pathologist 428 S Alvord St, Syracuse, NY 13208-2720 2011-08-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740736040 M&a Mobilityllc Non-emergency Medical Transport (VAN) 1611 Lodi St, Syracuse, NY 13208 2016-08-28
1053655472 Navid Rashidi Keikanloo Dentist 2800 Court St, Syracuse, NY 13208 2012-11-26
1801163399 Kathleen Ann Troicke Registered Nurse 923 North Mcbride Street, Cathedral Academy At Pompei School, Syracuse, NY 13208 2011-11-28
1194016469 Sharon Walsh Costello Registered Nurse 110 Second North Street, Apt 17, Syracuse, NY 13208 2011-04-21
1396058749 Rebecca Lynn Martin Licensed Practical Nurse 102 Hamden Drive, Syracuse, NY 13208 2010-07-14
1730358045 Tiffany Mckinney Technician/Technologist 2901 Court Street, Eyecare of Cny, Syracuse, NY 13208 2008-02-21
1871794594 Edward Louis Defuria Dentist 2800 Court Street, Syracuse, NY 13208 2007-05-30
1912092354 Karen Ev Fallon Physical Therapist 1603 Court Street, Syracuse, NY 13208 2006-10-03
1245346147 Christian Haglund Woodhead Dentist 801 N. Salina St., Syracuse, NY 13208 2006-08-22
1619994167 Judith Ann Falk Social Worker 1118 Court St, Syracuse, NY 13208 2006-07-17
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902410186 Katie Elise Boyd Nurse Practitioner 725 Irving Ave Ste 504, Syracuse, NY 13210-1683 2020-09-03
1023633427 Katherine Ellen Smith Nurse Practitioner 736 Irving Ave # 9100, Syracuse, NY 13210-1687 2020-06-11
1114180015 Tracey Jo Rheaume Nurse Practitioner 725 Irving Avenue Suite 112, Center for Neurodevelopmemtl Pediatrics Crouse Pob, Syracuse, NY 13210-1624 2008-07-10
1538264312 Nancy P Mitchell Nurse Practitioner 90 Presidential Plz Fl 3, University Pediatric and Adolescent Center, Syracuse, NY 13202-2240 2006-09-14
1821616962 Brittney Johnson Nurse Practitioner 736 Irving Ave Ste 9100, Syracuse, NY 13210-1687 2020-07-06
1114542511 Heather N Bedard Nurse Practitioner 736 Irving Ave, Syracuse, NY 13210-1687 2020-06-11
1841858370 Heather Pitts Nurse Practitioner 819 S Salina St, Syracuse, NY 13202-3570 2019-05-30
1922572379 Kristen Marie Maas Nurse Practitioner 750 E Adams St, Syracuse, NY 13210-2306 2019-01-18
1225518707 Erica Kendrew Nurse Practitioner 819 S Salina St, Syracuse, NY 13202 2018-08-15
1659868487 Hollie Elizabeth Campbell Nurse Practitioner 725 Irving Ave Ste 503, Syracuse, NY 13210-1683 2018-04-17
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Competitor

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City SYRACUSE
Zip Code 13208

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Dataset Information

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.

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