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KELLY ALLAN GOMEZ DPM NPI 1821021957


NPI Information

NPI: 1821021957
Provider Name: KELLY ALLAN GOMEZ, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
777 N 500 W
SUITE 103
PROVO, UT
ZIP 84601
Phone: (801) 375-6677
Get Directions

Kelly Allan Gomez, DPM is a foot and ankle surgery podiatrist in Provo, UT. Kelly Allan Gomez, DPM NPI is 1821021957. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

777 N 500 W
SUITE 103
PROVO, UT
ZIP 84601
Phone: (801) 375-6677
Fax: (801) 375-0346

The NPI 1821021957 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).

The enumeration date for this NPI number is 7/9/2006 and was last updated on 1/14/2015.


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
1213E00000XPodiatrist367951UTAHNo
2213ES0103XPodiatristFoot & Ankle Surgery367951UTAHYes

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
14385650001MEDICARE NSC
2U75122MEDICARE UPIN
3000064004OTHERUTAHMEDICARE PTAN #
4000012169MEDICARE PIN

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
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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