DR. MARIO H GOMEZ (NPI# 1518905884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518905884 |
| Entity Type | Individual |
| Full Name | DR. MARIO H GOMEZ |
| Credential | M.D. |
| Practice Address |
5918 Harbour Park Dr Midlothian VA 23112-2163 |
| Mailing Address |
Po Box 5567 5918 Harbor Park Drive Midlothian VA 23112-0027 |
| Practice Telephone | 8043530010 |
| Practice Fax Number | 8043530041 |
| Mailing Telephone | 8043530010 |
| Mailing Fax Number | 8043530041 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2008-05-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
0101042524 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MAGELLAN | 036579003 | 01 |
| VA | ANTHEM - GCH LOC | 451731 | 01 |
| VA | SENTARA | O89172 | 01 |
| VA | 004945557 | 05 | |
| VA | 007172966 | 05 | |
| VA | VALUE OPTIONS | A932442 | 01 |
| VA | ANTHEM - POWH LOC | 381732 | 01 |
| VA | HEALTHKEEPERS - GCH LOC | 451731 | 01 |
| VA | MAMSI | 267418 | 01 |
| VA | HEALTHEKEEPERS - POWH LOC | 381732 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134608060 | Mario Gomez | Nurse Practitioner | 8635 Nw 8th St Apt 412, Miami, FL 33126-5947 | 2018-08-10 |
| 1609161082 | Mario C Gomez Jr. | Specialist/Technologist, Other | 3205 Windy Bank Ln, Pearland, TX 77581-3547 | 2011-06-14 |
| 1508001157 | Mario Augusto Gomez | Internal Medicine | 2040 S Calhoun St, Fort Wayne, IN 46802-6412 | 2008-12-11 |
| 1346864808 | Mario Alberto Gomez | Pharmacist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-06-01 |
| 1225543713 | Mario Gomez | Case Manager/Care Coordinator | 930 F St, Wasco, CA 93280-2040 | 2017-12-06 |
| 1821317264 | Mario F. Gomez | Surgery | 6405 N Federal Hwy Ste 401, Fort Lauderdale, FL 33308-1421 | 2010-05-25 |
| 1033386131 | Mario A Gomez | Obstetrics & Gynecology | 925 Ne 30th Ter, Suite 300, Homestead, FL 33033-7614 | 2008-05-08 |
| 1720123524 | Mario Arturo Gomez I | Counselor | 3768 10th St, Riverside, CA 92501-3621 | 2007-02-20 |
| 1881759900 | Mario Ramon Gomez | Counselor | 1963 Grand Concourse, 605west 177street,new York, Ny10033, Suite Ll, Bronx, NY 10453-4929 | 2006-12-27 |
| Street Address |
5918 HARBOUR PARK DR |
| City | MIDLOTHIAN |
| State | VA |
| Zip Code | 23112-2163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376625517 | Dennis Keith Kilgore | Social Worker | 5918 Harbour Park Dr, Midlothian, VA 23112-2163 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982170080 | Shonmarra Ylexus Glover | Behavior Technician | 5950 Harbour Lane, Midlothian, VA 23112 | 2018-10-17 |
| 1841778917 | Brett Stires | Behavior Technician | 5950 Harbourt Park Dr, Midlothian, VA 23112 | 2018-08-01 |
| 1538655899 | Surbhi Chandna | Dentist | 5921 Harbour Ln Ste 500, Midlothian, VA 23112 | 2018-07-10 |
| 1184121584 | Katie Marie Kashmer | Behavioral Analyst | 5950 Barbour Park Lane, Midlothian, WA 23112 | 2018-04-11 |
| 1497259832 | Ruth Lynn Kitchens | Occupational Therapist | 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-21 |
| 1487157301 | Susan Stoodt Price | Occupational Therapist | Chesterfield Technical Center Hull, 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-16 |
| 1922500495 | Rayna Veney Piper | Speech-Language Pathologist | 13900 Hull Street Road, Midlothian, VA 23112 | 2018-03-01 |
| 1891202883 | Rochelle Wallace | Behavioral Analyst | 5950 Harbourt Park Dr., Midlothian, VA 23112 | 2017-12-29 |
| 1184138448 | Virginia Medical & Therapeutic Services | Counselor | 13540 E Boundary Rd, Midlothian, VA 23112 | 2017-11-24 |
| 1386169118 | Brandon Poen | Physical Therapist | 2820 Waterford Lake Dr., Unit 013, Midlothian, VA 23112 | 2017-08-14 |
| Find all providers in zip 23112 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770975096 | Biogenomic Medicine Institute, Pllc | Psychiatry & Neurology | 45189 Research Place, Suite 150, Ashburn, VA 20147 | 2015-02-24 |
| 1982008181 | National Counseling Group, Inc | Psychiatry & Neurology | 20 Walnut Avenue, Roanoke, VA 24016 | 2014-10-17 |
| 1366858342 | National Counseling Group, Inc | Psychiatry & Neurology | 16 Walnut Avenue, Roanoke, VA 24016 | 2014-07-10 |
| 1467683300 | Seth Clayton Thompson | Psychiatry & Neurology | 300 Valley St. Ne, Abingdon, VA 24210 | 2009-07-27 |
| 1083694459 | Ronald Earl Smith | Psychiatry & Neurology | 140 Little Falls St, Falls Church, VA 22046-4323 | 2006-01-20 |
| 1689287468 | Intercept Youth Services, Inc | Psychiatry & Neurology | 5511 Staples Mill Rd Ste 102, Richmond, VA 23228-5445 | 2020-08-31 |
| 1730608217 | Intercept Youth Services, Inc | Psychiatry & Neurology | 5673 Airport Rd, Roanoke, VA 24012-1119 | 2017-09-15 |
| 1316103278 | Motivations Medical Group | Psychiatry & Neurology | 4616 Westgrove Ct, Virginia Beach, VA 23455-5414 | 2008-07-31 |
| 1740450055 | Penelope Proctor Ziegler | Psychiatry & Neurology | 5477 Mooretown Rd, Williamsburg, VA 23188-2108 | 2008-03-04 |
| 1679750988 | Muhammad S Quidwai | Psychiatry & Neurology | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2008-01-29 |
| Find all providers with the same taxonomy | ||||
| City | MIDLOTHIAN |
| Zip Code | 23112 |
Please comment or provide details below to improve the information on DR. MARIO H GOMEZ.
| 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.