MR. MARK I GOMEZ (NPI# 1265733539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265733539 |
| Entity Type | Individual |
| Full Name | MR. MARK I GOMEZ |
| Practice Address |
105365 Highway102 Mcloud OK 74851 |
| Mailing Address |
1117 Straka Ter Oklahoma City OK 73139-2518 |
| Practice Telephone | 4059642081 |
| Mailing Telephone | 9183609926 |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2013-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417022278 | Mark David Gomez | Counselor | 3021 Gateway Dr, Ste. 290, Irving, TX 75063-2646 | 2006-11-21 |
| 1689230955 | Mark Caleb Gomez | Counselor | 600 Central Ave Ste E1, Lake Elsinore, CA 92530-2740 | 2019-05-13 |
| 1902150535 | Mark N Gomez | Anesthesiology | 500 E Market St, Iowa City, IA 52245-2633 | 2012-11-05 |
| 1497039481 | Mark Anthony Gomez | Rehabilitation Practitioner | 2775 S Jones Blvd Ste 101, Las Vegas, NV 89146-5632 | 2011-10-07 |
| 1174728430 | Mark D Gomez | Internal Medicine | 130 N Weber Rd, Suite 100, Bolingbrook, IL 60440-1519 | 2007-06-18 |
| Street Address |
105365 HIGHWAY102 |
| City | MCLOUD |
| State | OK |
| Zip Code | 74851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770039489 | Victoria Morris | Counselor | 13251 S. Mcloud Rd., Mcloud, OK 74851 | 2016-09-01 |
| 1922417674 | Brenda Davis | Registered Nurse | 105365 South Hwy 102, Mcloud, OK 74851 | 2014-08-07 |
| 1710390323 | Mcloud Dental Center P.l.l.c. | Dentist | 806 South 8th Street, Mcloud, OK 74851 | 2014-06-11 |
| 1508116542 | Kathryn Dean Jones | Pharmacist | 105365 South Highway 102, Mcloud, OK 74851 | 2012-09-18 |
| 1407128572 | Kickapoo Health Center | Counselor | 105365 S.highway 102, Mcloud, OK 74851 | 2012-02-03 |
| 1326349549 | Lisa A Lauderdale | Pharmacist | 409 North Hwy 102, Mcloud, OK 74851 | 2010-11-04 |
| 1396055679 | Cynthia Seger | Dietitian, Registered | 407 N. Highway 102, Mcloud, OK 74851 | 2010-10-20 |
| 1649595869 | Keith Allen Mehner | Dentist | 403 West Broadway Avenue, Mcloud, OK 74851 | 2010-03-30 |
| 1326203480 | Tyler Wellhausen | Pharmacist | 409 N Hwy 102, Mcloud, OK 74851 | 2008-07-28 |
| 1902069206 | Moira Ambrose Redcorn | Psychiatry & Neurology | 105365 S. Highway 102, Mcloud, OK 74851 | 2008-07-07 |
| Find all providers in zip 74851 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770039489 | Victoria Morris | Counselor | 13251 S. Mcloud Rd., Mcloud, OK 74851 | 2016-09-01 |
| 1538487467 | Myra Jean Moaning | Counselor | 31 Ione St, Mcloud, OK 74851-8440 | 2010-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292464 | Sara Saxman | Counselor | 7829 S Yale Ave Apt A, Tulsa, OK 74136-9051 | 2020-10-15 |
| 1639777410 | Larissa Wilson | Counselor | 9112 Rolling Green Ave, Oklahoma City, OK 73132-2055 | 2020-10-13 |
| 1942807656 | Terrance Banner | Counselor | 630 Elm Ave, Norman, OK 73019-3109 | 2020-10-06 |
| 1518573658 | Okiestrong Behavioral Health & Counseling, LLC | Counselor | 715 Se 12th St, Moore, OK 73160-7303 | 2020-09-22 |
| 1881207306 | Jennifer Mcdonald | Counselor | 9804 E 21st Pl Apt A, Tulsa, OK 74129-3815 | 2020-08-25 |
| 1497368179 | The Possibilities Place LLC | Counselor | 6900 Basswood Canyon Rd, Oklahoma City, OK 73162-7207 | 2020-08-24 |
| 1588276133 | Samantha Johnette Sowers | Counselor | 404 S Monroe Ave, Wagoner, OK 74467-6200 | 2020-08-17 |
| 1962013912 | Ashley Lambert | Counselor | 19501 N Pennsylvia, Apt 210, Edmond, OK 73012 | 2020-08-13 |
| 1306457569 | Compassionate Hand Counseling Services Inc | Counselor | 1414 Sw 89th St Ste B, Oklahoma City, OK 73159-6312 | 2020-08-12 |
| 1154931293 | Morganne Eaton | Counselor | 7777 E U.S. Rte 66, El Reno, OK 73036 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
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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.