DR. MICHAEL EUGENE DOMIS (NPI# 1124077474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124077474 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL EUGENE DOMIS |
| Credential | DPM |
| Practice Address |
18203 Sandy Pointe Dr Tampa FL 33647 |
| Mailing Address |
5509 Grand Blvd Ste 203 New Port Richey FL 34652-3836 |
| Practice Telephone | 7278043668 |
| Mailing Telephone | 7275725449 |
| Mailing Fax Number | 7278445425 |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2019-11-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO2713 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 390456300 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18203 Sandy Pointe Dr, Tampa, FL 33647 | 7278043668 |
| Street Address |
18203 SANDY POINTE DR |
| City | TAMPA |
| State | FL |
| Zip Code | 33647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558972935 | Innovative Healthcare of Florida, Inc. | Home Health | 8903 Bruce B Downs Blvd, Tampa, FL 33647 | 2020-08-11 |
| 1093331498 | Envision In-home Companion Svcs | Home Health | 8903 Bruce B. Downs Blvd, Suite #140, Tampa, FL 33647 | 2020-06-22 |
| 1538788344 | Deanna Rene Shelpman | Massage Therapist | 15443 Plantation Oaks Dr, Apt 13, Tampa, FL 33647 | 2020-04-11 |
| 1316598998 | Paramount Health Group LLC | In Home Supportive Care | 17425 Bridge Hill Crt. Unit 200b, Tampa, FL 33647 | 2019-09-24 |
| 1174185656 | S&k Management Services | Clinical Nurse Specialist | 19046 Bruce B. Downs Blvd, Ste 177, Tampa, FL 33647 | 2019-07-03 |
| 1760040133 | Calisia Sapp | Clinic/Center | 19046 Bruce B Downs Blvd Ste B6-703, Tampa, FL 33647 | 2019-05-31 |
| 1306400106 | B2b Apps Solutions, LLC | Durable Medical Equipment & Medical Supplies | 17931 Cachet Isle Drive, Tampa, FL 33647 | 2019-04-26 |
| 1376000919 | Florida Homecare Specialists Minority Corp | Home Health | 5331 Primrose Lake Circle Unit 116, Tampa, FL 33647 | 2019-03-01 |
| 1982188157 | Dynamic Support Solutions, LLC | Home Health | 8606 Baneberry Ct, Tampa, FL 33647 | 2018-09-24 |
| 1982197430 | Erika Mendoza-hutto | Nurse Practitioner | 20713 Center Oak Dr, Tampa, FL 33647 | 2018-06-10 |
| Find all providers in zip 33647 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184270183 | Stephen F Levin Dpm Pa | Podiatrist | 4202 W Waters Ave Ste 6, Tampa, FL 33614-1972 | 2019-08-15 |
| 1104351956 | Tommy Steven Kennedy | Podiatrist | 401 E Jackson St Ste 2340, Tampa, FL 33602-5226 | 2017-04-28 |
| 1295123966 | Melissa Trok-albear | Podiatrist | 6422 E Maclaurin Dr, Tampa, FL 33647-1170 | 2015-01-05 |
| 1548683667 | Michael Zuri | Podiatrist | 2511 West Doctor Martin Luther King Blvd, Tampa, FL 33607 | 2014-01-24 |
| 1972862191 | Janale Beckford | Podiatrist | 1881 W Kennedy Blvd Ste A, Tampa, FL 33606-1611 | 2012-05-08 |
| 1285962647 | Stephen Mourat | Podiatrist | 2007 W Swann Ave, Tampa, FL 33606-2483 | 2009-11-24 |
| 1063676575 | Kibibi Davison | Podiatrist | 7532 Clearview Dr, Tampa, FL 33634 | 2008-07-14 |
| 1710157680 | Ankle & Foot Center of Tampa Bay | Podiatrist | 13389 N 56th St Bldg J, Tampa, FL 33617-1161 | 2008-03-07 |
| 1891888533 | Kiki Hoang Tran-bergman | Podiatrist | 6301 Memorial Hwy Ste 301, Tampa, FL 33615-4573 | 2006-10-02 |
| 1871692285 | Donald Edward Beckett | Podiatrist | 10144 Deercliff Dr, Tampa, FL 33647-2936 | 2006-09-22 |
| Find all providers in TAMPA | ||||
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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.