Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andre Jaylan Gomez, PA

Individual provider Emergency Medicine Physician · NPI 1659095594

Andre Jaylan Gomez, PA is a Physician Assistant in Oklahoma City, Oklahoma. Qualified in 2020, 6 years ago. Practices with Integris Ambulatory Care Corporation, a 683-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
6
Licensed in
OK
In the registry since
2022
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

700 NE 13th St
Oklahoma City, OK 73104-5004
Phone: (405) 271-4700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence PA4953 (OK)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 4953 (OK)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 4953 (OK)

Record details

NPI number1659095594
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 3, 2022
Last updated in NPPESDecember 6, 2022
Certification dateDecember 6, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Integris Ambulatory Care Corporation — 683 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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