Javier Gomez, RDN, CDE | |
1100 E Ajo Way Ste 212, Tucson, AZ 85713 | |
(520) 904-0889 | |
Not Available |
Full Name | Javier Gomez |
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Gender | Male |
Speciality | Dietitian, Registered |
Location | 1100 E Ajo Way Ste 212, Tucson, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720196801 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | DT06671 (Texas) | Primary |
Provider Name | Athena Medical Group |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164918124 PECOS PAC ID: 8921358706 Enrollment ID: O20180829003049 |
Provider Name | Southern Az Nutrition Consultants, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013472158 PECOS PAC ID: 8921333469 Enrollment ID: O20190812001327 |
Mailing Address | Practice Location Address |
---|---|
Javier Gomez, RDN, CDE 11414 E Squash Blossom Loop, Tucson, AZ 85747-6219 Ph: (520) 904-0889 | Javier Gomez, RDN, CDE 1100 E Ajo Way Ste 212, Tucson, AZ 85713 Ph: (520) 904-0889 |
Sarah Duke, R.D.N. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1001 W Camino Desierto, Tucson, AZ 85704 Phone: 520-907-9587 | |
Ghaidaa Kobeissi, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 10350 E Drexel Rd Unit 110, Tucson, AZ 85747 Phone: 520-324-1727 Fax: 520-324-1700 | |
Mrs. Emily Susan Mason, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2806 N. Alvernon Way, #500, Tucson, AZ 85712 Phone: 520-730-3094 Fax: 520-428-5812 | |
Bree Ann Thompson, M.S., R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: Southern Az Va Health Care System, Tucson, AZ 85723 Phone: 520-792-1450 | |
Ms. Stephanie F. Harris, MS, RD,LDN, CSO Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3813 N Camino De Oeste, Tucson, AZ 85745 Phone: 717-799-8279 | |
Anju Patel, RD Dietitian Medicare: Medicare Enrolled Practice Location: 5651 N Paseo Niquel, Tucson, AZ 85718 Phone: 520-990-4112 | |
Ms. Dawn A Elvick, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3601 S 6th Ave, Tucson, AZ 85723 Phone: 520-792-1450 |