DR. JOHANNA KANERVA DOMER (NPI# 1093089187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093089187 |
| Entity Type | Individual |
| Full Name | DR. JOHANNA KANERVA DOMER |
| Credential | M.D. |
| Practice Address |
4848 E Cactus Rd Suite 940 Scottsdale AZ 85254-4163 |
| Practice Telephone | 4804430050 |
| Mailing Telephone | 4804430050 |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 29475 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
4848 E CACTUS RD SUITE 940 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85254-4163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790739969 | Vinay Kwatra | Pediatrics | 4848 E Cactus Rd, #620, Scottsdale, AZ 85254-4163 | 2006-05-20 |
| 1831716059 | Elena Marie Rivera | Psychologist | 4848 E Cactus Rd, Scottsdale, AZ 85254-4163 | 2020-07-03 |
| 1225560279 | Renee Mallari | Behavioral Analyst | 4848 E Cactus Rd, Suite 940, Scottsdale, AZ 85254-4163 | 2017-03-29 |
| 1013455070 | Optim Health Group LLC | Anesthesiology | 4848 E Cactus Rd, Ste 505-124, Scottsdale, AZ 85254-4163 | 2017-02-09 |
| 1063966125 | Dr C Ray Md PC | Anesthesiology | 4848 E Cactus Rd, Scottsdale, AZ 85254-4163 | 2016-08-06 |
| 1093169153 | Jennifer Espinoza | Behavioral Analyst | 4848 E Cactus Rd, Suite 940, Scottsdale, AZ 85254-4163 | 2016-04-14 |
| 1053728584 | Kristin Keri Goldberg | Psychologist | 4848 E Cactus Rd, Suite 940, Scottsdale, AZ 85254-4163 | 2014-07-16 |
| 1184031783 | Craig Ciuk | Occupational Therapist | 4848 E Cactus Rd, Suite 940, Scottsdale, AZ 85254-4163 | 2014-07-15 |
| 1265848444 | Janet Chao Fratantoni | Psychologist | 4848 E Cactus Rd, Suite 940, Scottsdale, AZ 85254-4163 | 2014-07-08 |
| 1851659593 | Kathryn Anne Newby | Pediatrics | 4848 E Cactus Rd, Suite 620, Scottsdale, AZ 85254-4163 | 2012-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891318416 | Dental Center of Scottsdale Pllc | Dentist | 6945 E. Sahuaro, Dr. Ste A-3, Scottsdale, AZ 85254 | 2020-05-19 |
| 1730651365 | Banner Urgent Care Services, LLC | Clinic/Center | 6501 East Greenway Parkway Building 3 Ste 104, Scottsdale, AZ 85254 | 2018-12-20 |
| 1801364872 | Lionrock Behavioral Health, Inc. | Community/Behavioral Health | 7047 E. Greenwood Parkway, Suite 250, Scottsdale, AZ 85254 | 2018-11-08 |
| 1497241079 | Saguaro Treatment Center | Pain Medicine | 5533 E. Bell Rd #111, Scottsdale, AZ 85254 | 2018-07-06 |
| 1811489941 | One Hundred Dental Pllc | Clinic/Center | 11000 N Scottsdale Rd Ste 290, Scottsdale, AZ 85254 | 2018-06-05 |
| 1104339316 | Victoria Lynne Amstutz | Family Medicine | 5546 E. Yucca Street, Scottsdale, AZ 85254 | 2017-11-09 |
| 1205345477 | Dentists of Scottsdale, LLP | Dentist | 16201 N Scottsdale Road, Ste 100, Scottsdale, AZ 85254 | 2017-09-20 |
| 1346779626 | Jillian Manng | Nurse Practitioner | 11000 N. Scottsdale Rd., #145, Scottsdale, AZ 85254 | 2017-06-08 |
| 1184163339 | Emily Tepouha Bashah | Psychologist | 13430 North Scottsdale Road, Suite #301a, Scottsdale, AZ 85254 | 2017-02-21 |
| 1427596741 | Tiffany Schonert | Contractor | 7127 E Sahuaro Dr Suite 105, Scpttsdale, AZ 85254 | 2017-02-07 |
| Find all providers in zip 85254 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306487350 | Roots Pediatric Therapy, LLC | Pediatrics | 7340 E Legacy Blvd Unit C2006, Scottsdale, AZ 85255-6388 | 2019-10-01 |
| 1164985305 | Desert Sky Pediatrics | Pediatrics | 3301 N Miller Rd Ste 170, Scottsdale, AZ 85251-6421 | 2019-04-12 |
| 1770093221 | Brittany Wilson | Pediatrics | 8573 E San Alberto Dr Ste E100, Scottsdale, AZ 85258-4612 | 2017-10-10 |
| 1154854537 | Alexandra Kauffman | Pediatrics | 5425 E Bell Rd Ste 145, Scottsdale, AZ 85254-6010 | 2017-04-04 |
| 1174919997 | Kelsey Elizabeth Chemelewski | Pediatrics | 8573 E San Alberto Ste E100, Scottsdale, AZ 85258-4612 | 2015-04-08 |
| 1144526450 | Kamla Kumar | Pediatrics | 12148 N. 134th Way, Scottsdale, AZ 85259 | 2011-02-03 |
| 1760708168 | Colin George Petranu | Pediatrics | 9827 N 95th St Ste 105, Scottsdale, AZ 85258-4591 | 2010-04-12 |
| 1093047011 | Philip Albert Bond | Pediatrics | 11825 E Desert Trail Rd, Scottsdale, AZ 85259-2726 | 2010-02-01 |
| 1053556241 | Michelle Ellen Buenafe | Pediatrics | 5046 E Corrine Dr, Scottsdale, AZ 85254-4143 | 2008-12-03 |
| 1861665671 | David Allen Scheer | Pediatrics | 5461 E Cortez Dr, Scottsdale, AZ 85254-4733 | 2008-04-12 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85254 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.