MR. JESUS GOMEZ JR. (NPI# 1093111940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093111940 |
| Entity Type | Individual |
| Full Name | MR. JESUS GOMEZ JR. |
| Credential | SA-C |
| Practice Address |
3501 South 1st 128 Austin TX 78704 |
| Practice Telephone | (512) 573-3088 |
| Mailing Telephone | 5125733088 |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7204 Towering Oaks Dr, Austin, TX 787455225 | 5125733088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730430547 | Jesus Alfonso Gomez | Counselor | 1958 Maverick Dr, Plumas Lake, CA 95961-9164 | 2012-09-20 |
| 1396701561 | Jesus A. Gomez | Dentist | 6421 Saratoga Blvd, Building 101, Corpus Christi, TX 78414-3479 | 2006-04-25 |
| 1437637311 | Jesus Gomez | Behavior Technician | 3110 Camino Del Rio S Ste 307, San Diego, CA 92108-3832 | 2018-08-01 |
| 1912292467 | Jesus R Gomez | Nurse Anesthetist, Certified Registered | 2401 S 31st St, Temple, TX 76508-1532 | 2011-06-13 |
| 1528383437 | Jesus Eduardo Gomez | Emergency Medicine | 11234 Anderson St, Gme Office Cp 21005, Loma Linda, CA 92354-2804 | 2010-04-03 |
| 1346441086 | Jesus Valentin Gomez | Specialist | Munoz Rivera 41 Oeste, Rincon, PR 00677 | 2007-05-30 |
| 1609873504 | Jesus Alberto Gomez | Specialist | 7848 Gateway Blvd E, El Paso, TX 79915-1815 | 2005-07-07 |
| Street Address |
3501 SOUTH 1ST 128 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
| 1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
| 1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
| 1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
| 1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
| Find all providers in zip 78704 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437715760 | Jose Ramon Gamino Guerrero | Specialist/Technologist, Other | 11125 Liberty Farms Dr, Austin, TX 78754-5972 | 2019-05-13 |
| 1902350895 | Rhett Self | Specialist/Technologist, Other | 2008 Jones Rd Side A, Austin, TX 78745-2722 | 2016-08-08 |
| 1265811871 | Gulf Coast Surgical Assistants | Specialist/Technologist, Other | 8808 Big View Dr, Austin, TX 78730-1529 | 2015-05-28 |
| 1598143877 | Jared Trustman | Specialist/Technologist, Other | 12300 Innes View Rd, Austin, TX 78754-6023 | 2015-05-07 |
| 1942693460 | Timothy Auvenshine | Specialist/Technologist, Other | 9009 Great Hills Trl, Apt 228, Austin, TX 78759-7187 | 2015-03-08 |
| 1073904165 | Antonio Jason Morquecho | Specialist/Technologist, Other | 9715-b Burnet Rd #100, Austin, TX 78758 | 2015-02-10 |
| 1700124997 | Echo Harmony Rowles | Specialist/Technologist, Other | 5316 Roosevelt Ave, Austin, TX 78756-2127 | 2013-01-22 |
| 1518121011 | Valentin Vidal Lopez | Specialist/Technologist, Other | 1822 W Braker Ln, 81603, Austin, TX 78758-3606 | 2008-07-14 |
| 1366647448 | Surgical Assistants of Greater Houston | Specialist/Technologist, Other | 8104 Ephraim Rd, Austin, TX 78717-5334 | 2007-06-18 |
| 1871702084 | Hilda Margarita Perez | Specialist/Technologist, Other | 9715 Burnet Rd Ste 100, Austin, TX 78758-5215 | 2007-05-22 |
| Find all providers in AUSTIN | ||||
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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.