DR. JEROME ELDON GOSS (NPI# 1467668905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467668905 |
| Entity Type | Individual |
| Full Name | DR. JEROME ELDON GOSS |
| Credential | MD |
| Practice Address |
#5 Camino Del Sol St. Corrales NM 87048 |
| Mailing Address |
#5 Camino Del Sol Pob 1860 Corrales NM 87048 |
| Practice Telephone | 5057921516 |
| Mailing Telephone | 5057921516 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
68-103 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 10918 | 05 |
| Street Address |
#5 CAMINO DEL SOL ST. |
| City | CORRALES |
| State | NM |
| Zip Code | 87048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154948081 | Designed Health Options, LLC | General Practice | 5065 Corrales Rd., Corrales, NM 87048 | 2020-06-26 |
| 1770102618 | Lisa Garcia | Technician | 148 West Valverde Rd., Corrales, NM 87048 | 2020-04-10 |
| 1841690732 | Erica Jacknin | Art Therapist | 100 Sherlock Ct, Corrales, NM 87048 | 2014-08-27 |
| 1821331182 | Celia Janet Larcom | Massage Therapist | 4650 Corrales Rd., Bldg. B, Corrales, NM 87048 | 2013-04-04 |
| 1740538693 | Angel Paths Therapy | Voluntary or Charitable | 817 West Ella, Corrales, NM 87048 | 2012-08-27 |
| 1013207356 | Meta, Inc. | Community/Behavioral Health | 4813 Corrales Road, Corrales, NM 87048 | 2011-04-07 |
| 1568602399 | Michael A Mauldin | Psychologist | 154 Anya Rd, Corrales, NM 87048 | 2009-03-06 |
| 1154568087 | Maria C Chavez | Counselor | 218 Broadway Ave, Abq, NM 87048 | 2009-01-14 |
| 1104073451 | Changing Life's Direction, LLC | Community/Behavioral Health | 4627 Corrales Rd., Corrales, NM 87048 | 2008-08-19 |
| 1467613604 | Natalie M Naranjo-rodriguez | Counselor | 20 Camino Vega Verde, Corrales, NM 87048 | 2008-06-20 |
| Find all providers in zip 87048 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1336781210 | United Diagnostic Services Nm LLC | Internal Medicine | 500 Marquette Ave Nw Ste 1296, Albuquerque, NM 87102-5340 | 2019-10-12 |
| 1366954190 | Alyce Lynn Dechant | Internal Medicine | 1101 -4 Medical Arts Ave Ne, Albuquerque, NM 87131-0001 | 2017-11-02 |
| 1104338672 | Mary Ann Lukas | Internal Medicine | 9328 Del Arroyo Ave Ne, Albuquerque, NM 87122-2907 | 2017-10-24 |
| 1710229638 | Phillip J Camp | Internal Medicine | Internal Medicine Msc10 5550, 1 University of New Mexic, Albuquerque, NM 87131-0001 | 2013-03-18 |
| 1871886226 | Irwin Hoffman Md PC | Internal Medicine | 646 Garcia St, Santa Fe, NM 87505-2858 | 2011-05-18 |
| 1376846808 | Lawrence Kuo | Internal Medicine | 1053 Red Oaks Loop Ne, Albuquerque, NM 87122-1346 | 2010-12-05 |
| 1790919801 | Gallup Cardiology PC | Internal Medicine | 2028 E Aztec Ave, Gallup, NM 87301-4804 | 2009-05-05 |
| 1912188285 | Horacio Patricio Moreno-campos | Internal Medicine | 6745 Academy Rd Ne, Suite A, Albuquerque, NM 87109-3382 | 2007-11-15 |
| 1922126473 | David Earl Hoekenga | Internal Medicine | 6710 Pueblo Vis, Las Cruces, NM 88007-8905 | 2007-03-26 |
| 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.