DR. ANTONIO GOMEZ (NPI# 1225365430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225365430 |
Entity Type | Individual |
Full Name | DR. ANTONIO GOMEZ |
Credential | M.D. |
Practice Address |
180 Brookline Ave Apt 339 Boston MA 02215 |
Mailing Address |
180 Brookline Ave Unit 339 Boston MA 02215-3926 |
Practice Telephone | 6172362095 |
Mailing Telephone | 6172362085 |
Enumeration Date | 2009-11-09 |
Last Update Date | 2009-11-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
233082 | MA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750919437 | Antonio Ray Gomez | Licensed Vocational Nurse | 301 Lakeway Blvd, Tool, TX 75143 | 2020-03-30 |
1700174224 | Antonio Gomez Jr. | Registered Nurse | 1315 High Falls Rd, Catskill, NY 12414-5605 | 2011-07-18 |
1841518206 | Antonio Luis Gomez | Pharmacy Technician | 85 Calle Central, Coto Laurel, PR 00780-2139 | 2010-05-11 |
1104833888 | Antonio Diaz Gomez | Internal Medicine | 505 Parnassus Ave # M1094, Box 0111, San Francisco, CA 94143-2204 | 2006-08-02 |
1447236294 | Antonio Merced Gomez Jr. | Technician, Other | Comdt (cg-1122) Uscg, 2100 2nd St Sw, Suite 5314, Washington, DC 20593-0001 | 2005-12-22 |
Street Address |
180 BROOKLINE AVE APT 339 |
City | BOSTON |
State | MA |
Zip Code | 02215 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528267002 | Rvp | Durable Medical Equipment & Medical Supplies | 180 Brookline Ave, Suite 248, Boston, MA 02215-3938 | 2007-07-13 |
1326441569 | Sarah Almershed | Student in an Organized Health Care Education/Training Program | 180 Brookline Ave, Apartment 1529, Boston, MA 02215-3938 | 2014-10-02 |
1124421508 | Munirah Almershed | Dentist | 180 Brookline Ave, 1529, Boston, MA 02215-3938 | 2014-09-30 |
1568879302 | Adriana Carrie Luk | Student in an Organized Health Care Education/Training Program | 180 Brookline Ave, Suite 840, Boston, MA 02215-3938 | 2014-07-14 |
1326359787 | Mary Catherine Millkey | Dentist | 180 Brookline Ave, Apartment 1051, Boston, MA 02215-3938 | 2010-06-30 |
1417157934 | Rvp | Clinical Medical Laboratory | 180 Brookline Ave, Suite 248, Boston, MA 02215-3938 | 2007-07-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
Find all providers in zip 02215 |
Taxonomy Code | 207XS0114X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Adult Reconstructive Orthopaedic Surgery |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881753242 | Harris S Yett | Orthopaedic Surgery | Bidmc - Dept of Orhtopaedics, 330 Brookline Ave, Boston, MA 02115 | 2006-12-08 |
1497847982 | John Mcarthur Harris IIi | Orthopaedic Surgery | 150 South Huntington Avenue (112), Dva Boston Healthcare System, Boston, MA 02130 | 2006-09-29 |
1184100802 | Ajb Orthopedics, Pllc | Orthopaedic Surgery | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2018-07-16 |
1679075410 | Krysta Kayla Cass | Orthopaedic Surgery | 330 Brookline Ave, Boston, MA 02215-5400 | 2018-03-07 |
1407240062 | Daniel R Schmitt | Orthopaedic Surgery | 125 Parker Hill Avenue, Boston, MA 02120 | 2015-03-22 |
1952690455 | Tiffany Nicole Castillo | Orthopaedic Surgery | 55 Fruit St, Boston, MA 02114-2621 | 2011-04-05 |
1316106958 | Mohamed E Moussa | Orthopaedic Surgery | Massachusetts General Hospital, 55 Fruit St White # 535, Boston, MA 02114-2621 | 2008-06-09 |
1104085604 | Dennis W Burke Md PC | Orthopaedic Surgery | 55 Fruit St, Yawkey 3b, Boston, MA 02114 | 2008-06-09 |
1750579165 | Senthil Sambandam | Orthopaedic Surgery | 1400 Vfw Pkwy, Boston, MA 02132-4927 | 2007-10-10 |
1952513632 | Robert John Mcgill | Orthopaedic Surgery | 75 Francis St, Boston, MA 02115-6110 | 2007-05-04 |
Find all providers in BOSTON |
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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.