Provider Demographics
NPI:1699719336
Name:GOMES, MARIA N (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:N
Last Name:GOMES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6319 GAINSBOROUGH DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-6616
Mailing Address - Country:US
Mailing Address - Phone:913-526-2884
Mailing Address - Fax:
Practice Address - Street 1:6500 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:HANNIBAL
Practice Address - State:MO
Practice Address - Zip Code:63401-6890
Practice Address - Country:US
Practice Address - Phone:573-629-3462
Practice Address - Fax:573-629-3537
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMD-54748207RE0101X
MO2018040489207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
36623024OtherBCBS OF KANSAS CITY
MOY36000021Medicare PIN
F77535Medicare UPIN
36623024OtherBCBS OF KANSAS CITY