JUAN SALVADOR PEREZ GOMEZ (NPI# 1437582558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437582558 |
| Entity Type | Individual |
| Full Name | JUAN SALVADOR PEREZ GOMEZ |
| Credential | MD |
| Practice Address |
1100 F Ave Douglas AZ 85607-1919 |
| Mailing Address |
1205 F Ave Douglas AZ 85607-1920 |
| Practice Telephone | 5203643285 |
| Practice Fax Number | 5203644261 |
| Mailing Telephone | 5203646852 |
| Mailing Fax Number | 5203644261 |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2016-11-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 52679 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 194403 | 05 |
| Street Address |
1100 F AVE |
| City | DOUGLAS |
| State | AZ |
| Zip Code | 85607-1919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770584369 | Mario Fragoso | Dentist | 1100 F Ave, Douglas, AZ 85607-1919 | 2005-08-03 |
| 1982103479 | Heidy H Anway | Dental Hygienist | 1100 F Ave, Douglas, AZ 85607-1919 | 2018-02-09 |
| 1598276834 | Ninive Alejandra Quijada | Dental Hygienist | 1100 F Ave, Douglas, AZ 85607-1919 | 2017-10-13 |
| 1174072326 | Pamela Oliphant | Dietitian, Registered | 1100 F Ave, Douglas, AZ 85607-1919 | 2016-09-29 |
| 1851751143 | Sarah Elizabeth Snapp | Dietitian, Registered | 1100 F Ave, Douglas, AZ 85607-1919 | 2016-02-29 |
| 1497131510 | Christopher Rogowski | Dentist | 1100 F Ave, Douglas, AZ 85607-1919 | 2015-07-31 |
| 1578996468 | Luis Ernesto Garcia Suero | Internal Medicine | 1100 F Ave, Douglas, AZ 85607-1919 | 2013-08-14 |
| 1275965683 | Maryslenni Gil | Internal Medicine | 1100 F Ave, Douglas, AZ 85607-1919 | 2013-08-08 |
| 1659614386 | Primarosa A Cardenas | Family Medicine | 1100 F Ave, Douglas, AZ 85607-1919 | 2013-04-01 |
| 1346594462 | Galyna Rudnikova Flink | Dentist | 1100 F Ave, Douglas, AZ 85607-1919 | 2012-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811472665 | Chiricahua Community Health Centers, Inc | Clinic/Center | 1151 16th Street, Douglas, AZ 85607 | 2018-09-27 |
| 1457758609 | Angela Leah Overturf | Nurse Practitioner | 100 East 5th Street, Douglas, AZ 85607 | 2014-12-02 |
| 1609279108 | Walter Tucker | Counselor | 2100 E 8th, Douglas, AZ 85607 | 2014-09-29 |
| 1851700488 | Gerardo Grijalva | Non-emergency Medical Transport (VAN) | 2714 E 6th St, Douglas, AZ 85607 | 2014-08-07 |
| 1174933246 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 1019 F Ave, Douglas, AZ 85607 | 2014-04-29 |
| 1831473164 | Cheryl Lynn Mcneeley | Speech-Language Pathologist | 815 E. 15th Street, Douglas, AZ 85607 | 2011-10-05 |
| 1245523364 | Community Intervention Associates | Community/Behavioral Health | 1701 North Douglasave, Douglas, AZ 85607 | 2011-05-23 |
| 1174820898 | Chiricahua Community Health Centers, Inc | Clinic/Center | 815 15th Street, Douglas, AZ 85607 | 2011-02-15 |
| 1033319512 | Community Healthcare of Douglas Inc | Clinic/Center | 1906 11th Street, Douglas, AZ 85607 | 2007-07-23 |
| 1538360888 | Jay Daniel Zamora | Chiropractor | 1915 E 10th St, Douglas, AZ 85607 | 2007-05-31 |
| Find all providers in zip 85607 | ||||
| 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 |
|---|---|---|---|---|
| 1457722720 | Crh Physician Practices LLC | Internal Medicine | 901 Connector 206 N, Douglas, GA 31533-7150 | 2015-10-13 |
| 1821345356 | Southeastern Neuromuscular Massage Therapy, Inc. | Internal Medicine | 112 Madison Ave N, Douglas, GA 31533-4604 | 2012-08-15 |
| 1619131299 | Jeong Hun Paik | Internal Medicine | 200 Doctors Dr Ste K, Douglas, GA 31533-2202 | 2008-07-14 |
| 1174699649 | Hector F Garcia | Internal Medicine | 1116 N G Ave, Ste. 7, Douglas, AZ 85607-1944 | 2006-11-28 |
| 1013995935 | Krishnan Arunachalam | Internal Medicine | 2012 Ocilla Hwy, Douglas, GA 31533-2232 | 2006-01-03 |
| 1043203425 | Dennis Conrad Harper | Internal Medicine | 1400 N. Peterson Avenue, Suite C, Douglas, GA 31533 | 2005-08-31 |
| 1750374294 | Hemachandran P Nair | Internal Medicine | 200 Doctors Dr, Suite 106, Douglas, GA 31533-2201 | 2005-08-30 |
| 1326031865 | Marshall Glynn Tanner | Internal Medicine | 2016 Ocilla Rd, Douglas, GA 31533-2230 | 2005-08-30 |
| 1437142320 | James Stanley Sinclair | Internal Medicine | 306 Westside Dr, Douglas, GA 31533-3530 | 2005-08-25 |
| 1447250220 | Robert Darrell Collins | Internal Medicine | 1208 Ocilla Rd Unit 1, Douglas, GA 31533-2220 | 2005-07-22 |
| Find all providers in DOUGLAS | ||||
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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.