Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MACKENZIE MARIE GOMEZ, PA-C
ActiveMACKENZIE MARIE GOMEZ, PA-C is a Physician Assistant healthcare provider located in BOISE, Idaho. NPI 1649059197 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BOISE, ID
Registration Details
- NPI Number
- 1649059197
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 25, 2023 (2.8643727823751 yrs)
- Last Updated
- Mar 10, 2025
- Licenses
-
1200715 (FL)4871647 (ID)
Practice Information
- Address
-
417 S 6TH STBOISE, ID, 837027632Browse ID providers · Browse ZIP 83702
- Phone
- 2085774460
- Fax
- 2085774469
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| MS. YELENA SHUEY | PA-C | 1124029939 |
| JEFFREY D SMITH | PA C | 1013905793 |
| CHADWICK ALDEN FISHER | PA | 1497744338 |
| RACHEL KING | PA | 1205826245 |
| DARRELL L KING | PA | 1770573644 |
| THOMAS F DOUTHIT | PA-C | 1023008414 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.