MR. SHANNON MICHAEL GOMES M.D.
NPI 1427780956
Student in an Organized Health Care Education/Training Program in Scranton, PA

Active since June 24, 2022PECOS Enrolled
501 SOUTH WASHINGTON AVE, SCRANTON, PA 18505(570) 343-2383 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Shannon Michael Gomes M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SHANNON MICHAEL GOMES M.D. (NPI 1427780956) is an individual student in an organized health care education/training program in Scranton, Pennsylvania and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1427780956
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. SHANNON MICHAEL GOMESCredential: M.D.
Location Address501 SOUTH WASHINGTON AVEScranton, PA 18505
Mailing Address33 Golden Meadow DriveMarkham, ONTARIO L6E 1V8
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 24, 2022
Last NPPES UpdateSeptember 21, 2022
NPPES CertifiedSeptember 21, 2022
NPI 1427780956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
501 SOUTH WASHINGTON AVE, Scranton, PA 18505

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Shannon Michael Gomes M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385098292
PECOS Enrollment IDI20260206001241
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
501 SOUTH WASHINGTON AVE
SCRANTON, PA 18505
Internal Medicine
501 SOUTH WASHINGTON AVE
SCRANTON, PA 18505
Student in an Organized Health Care Education/Training Program
501 SOUTH WASHINGTON AVE
SCRANTON, PA 18505
Student in an Organized Health Care Education/Training Program
501 SOUTH WASHINGTON AVE
SCRANTON, PA 18505
Student in an Organized Health Care Education/Training Program
501 SOUTH WASHINGTON AVE
SCRANTON, PA 18505
Student in an Organized Health Care Education/Training Program
501 SOUTH WASHINGTON AVE
SCRANTON, PA 18505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Gomes's NPI number?

The NPI number for Shannon Gomes is 1427780956. It was assigned to this individual provider in the NPPES registry on June 24, 2022.

Where is Shannon Gomes located?

Shannon Gomes practices at 501 South Washington Ave, Scranton, PA 18505. The listed phone number is (570) 343-2383.

What is Shannon Gomes's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shannon Gomes enrolled in Medicare?

Yes. Shannon Gomes is registered in the Medicare PECOS enrollment system.

Is Shannon Gomes affiliated with any hospitals?

According to CMS data, Shannon Gomes is affiliated with Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Shannon Gomes was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.