DR. MARIO H GOMEZ M.D. NPI 1518905884

NPI Information

NPI: 1518905884
Provider Name: DR. MARIO H GOMEZ, M.D.
Classification: Psychiatry & Neurology - 2084P0802X
Entity Type: Individual

Specialization: Addiction Psychiatry

PECOS Registration: Yes

Address:
5918 HARBOUR PARK DR
MIDLOTHIAN, VA
ZIP 23112
Phone: (804) 353-0010
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DR. Mario H Gomez, M.D. is an addiction psychiatry psychiatry neurology in Midlothian, VA with 41 years of experience. The provider is 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. DR. Mario H Gomez, M.D. NPI is 1518905884. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EASTERN VIRGINIA MEDICAL SCHOOL
Graduation Year:1983

The provider's business location address is:

5918 HARBOUR PARK DR
MIDLOTHIAN, VA
ZIP 23112-163
Phone: (804) 353-0010
Fax: (804) 353-0041

The NPI 1518905884 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 5/13/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry	0101042524	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	014866G97	MEDICARE PIN	VIRGINIA
2	A932442	OTHER	VIRGINIA	VALUE OPTIONS
3	260041102	MEDICARE PIN	VIRGINIA
4	381732	OTHER	VIRGINIA	ANTHEM - POWH LOC
5	C03563	MEDICARE ID-TYPE UNSPECIFIED	VIRGINIA	HMG GROUP NUMBER
6	004945557	MEDICAID	VIRGINIA
7	381732	OTHER	VIRGINIA	HEALTHEKEEPERS - POWH LOC
8	O89172	OTHER	VIRGINIA	SENTARA
9	007172966	MEDICAID	VIRGINIA
10	267418	OTHER	VIRGINIA	MAMSI
11	451731	OTHER	VIRGINIA	ANTHEM - GCH LOC
12	260001589	MEDICARE ID-TYPE UNSPECIFIED	VIRGINIA	HMG INDIV. NUMBER
13	451731	OTHER	VIRGINIA	HEALTHKEEPERS - GCH LOC
14	036579003	OTHER	VIRGINIA	MAGELLAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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