Individual
DR. MARIO H GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5918 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2163
(804) 353-0010
(804) 353-0041
Mailing address
PO BOX 5567, 5918 HARBOR PARK DRIVE, MIDLOTHIAN, VA 23112-0027
(804) 353-0010
(804) 353-0041
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
0101042524
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945557
—
VA
05
—
007172966
—
VA
01
—
036579003
MAGELLAN
VA
01
—
267418
MAMSI
VA
01
—
381732
ANTHEM - POWH LOC
VA
01
—
451731
ANTHEM - GCH LOC
VA
01
—
A932442
VALUE OPTIONS
VA
01
—
O89172
SENTARA
VA
Enumeration date
06/02/2006
Last updated
05/13/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us