MR. DOMINIC SUCCOUR GOMES (NPI# 1801904560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801904560 |
| Entity Type | Individual |
| Full Name | MR. DOMINIC SUCCOUR GOMES |
| Credential | CRNA |
| Practice Address |
Grassland Road Valhalla NY 10595 |
| Mailing Address |
50 E Hartsdale Ave Apt 5t Hartsdale NY 10530-2725 |
| Practice Telephone | 9144937000 |
| Mailing Telephone | 9146072411 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2011-04-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 503008 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144376856 | Dominic Gomes | Family Medicine | 6140 S Broadway, Lorain, OH 44053-3821 | 2007-01-26 |
| Street Address |
GRASSLAND ROAD |
| City | VALHALLA |
| State | NY |
| Zip Code | 10595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126946 | Evan Alexander Formosa | Student in an Organized Health Care Education/Training Program | 40 Sunshine Cottege Road, New York Medical College Student Affairs Suite 122a, Valhalla, NY 10595 | 2020-02-18 |
| 1124673223 | Mozibur Rahman | Student in an Organized Health Care Education/Training Program | C/o Pathology, 100 Woods Rd, Valhalla, NY 10595 | 2019-08-06 |
| 1235650243 | Ana Karla F Arias | Psychologist | 503 Grasslands Roas, Suite 101, Valhalla, NY 10595 | 2017-06-29 |
| 1336682327 | Adriana Josandy Arias | Case Manager/Care Coordinator | 503 Grasslands Rd, Suite 101, Valhalla, NY 10595 | 2016-11-23 |
| 1740632934 | Philippe Hoffmann | Counselor | 1700 Old Orchard, Valhalla, NY 10595 | 2016-07-12 |
| 1396195020 | Elizabeth Hendricks | Social Worker | 1700 Old Orchard St, Valhalla, NY 10595 | 2016-06-14 |
| 1427437771 | Stephany Rodriguez | Case Manager/Care Coordinator | 503 Grasslands Road, Suite 101, Valhala, NY 10595 | 2015-05-20 |
| 1437536182 | Shajiuddin Faraz Mohammed | Psychiatry & Neurology | 100 Woods Road Behavioral Health Center Suite-n314, Westchester Medical Center, Department of Psychiatry, Valhalla, NY 10595 | 2015-05-01 |
| 1841685013 | Barbara Constantine | Physical Therapist | 70 Colubus Ave., Valhalla, NY 10595 | 2015-04-03 |
| 1316330418 | Victor Tseng | Anesthesiology | 100 Woods Rd Rm D-228, Valhalla, NY 10595 | 2015-03-12 |
| Find all providers in zip 10595 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902955248 | Deven Lombardia | Nurse Anesthetist, Certified Registered | 95 Grassland Road, Room 2389 Macy Pavillion Wmc, Valhalla, NY 10595 | 2007-01-09 |
| 1972129807 | Lia C Iacuone | Nurse Anesthetist, Certified Registered | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-06-16 |
| 1578187852 | Miriam Heller | Nurse Anesthetist, Certified Registered | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-06-03 |
| 1740761634 | Lara Back | Nurse Anesthetist, Certified Registered | 100 Woods Rd, Valhalla, NY 10595-1530 | 2018-08-28 |
| 1992203384 | Brendan Weaver | Nurse Anesthetist, Certified Registered | 100 Woods Rd, Valhalla, NY 10595-1530 | 2018-01-31 |
| 1770099681 | Yuri Yakubov | Nurse Anesthetist, Certified Registered | 100 Woods Rd, Valhalla, NY 10595-1530 | 2017-12-15 |
| 1265955363 | Keneil Edmond | Nurse Anesthetist, Certified Registered | 100 Woods Rd, Valhalla, NY 10595-1530 | 2017-07-20 |
| 1730565722 | Angela Marie Morgan | Nurse Anesthetist, Certified Registered | 100 Woods Rd, Valhalla, NY 10595-1530 | 2015-08-03 |
| 1164851093 | Julie Setaro | Nurse Anesthetist, Certified Registered | 100 Woods Rd, Valhalla, NY 10595-1530 | 2013-11-01 |
| 1982945887 | Vivian San Jose | Nurse Anesthetist, Certified Registered | 100 Woods Rd, Valhalla, NY 10595-1530 | 2013-03-04 |
| Find all providers in VALHALLA | ||||
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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.