RAYMOND D DOMINICK (NPI# 1194799569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194799569 |
| Entity Type | Individual |
| Full Name | RAYMOND D DOMINICK |
| Credential | M.D. |
| Practice Address |
8404 Us Highway 441 Leesburg FL 34788-4016 |
| Practice Telephone | 3523151651 |
| Practice Fax Number | 3523151703 |
| Mailing Telephone | 3523151651 |
| Mailing Fax Number | 3523151703 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2008-05-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | ME77919 | FL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | ME 77919 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 261049300 | 05 | |
| FL | BCBS | 58617 | 01 |
| Street Address |
8404 US HIGHWAY 441 |
| City | LEESBURG |
| State | FL |
| Zip Code | 34788-4016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245757327 | Nicole Carter | Nurse Practitioner | 8404 Us Highway 441, Leesburg, FL 34788-4016 | 2017-08-29 |
| 1043261415 | Medical Ventures of America | Clinic/Center | 8404 Us Highway 441, Leesburg, FL 34788-4016 | 2006-05-12 |
| 1629028832 | Christina Proud | Internal Medicine | 8404 Us Highway 441, Leesburg, FL 34788-4016 | 2006-05-10 |
| 1073576146 | Medical Ventures of America | Legal Medicine | 8404 Us Highway 441, Leesburg, FL 34788-4016 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346752060 | Latoya Luella Burnette | Homemaker | 9324 Cemetery Ave, Leesburg, FL 34788 | 2017-11-03 |
| 1407396781 | Rachelle Desir | Developmental Therapist | 33242 Kaylee Way, Leesburg, FL 34788 | 2017-03-06 |
| 1184752750 | Suzanne Mary Howard | Social Worker | 33057 Professional Drive, Lake Center of Hope, Leesburg, FL 34788 | 2007-03-02 |
| 1386798460 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 10041 Us Hwy 441, Suite E, Leesburg, FL 34788 | 2007-01-23 |
| 1558412486 | Samuel Bundz Md Pa | Surgery | 8112 Centralia Ct, Suite 101, Leesburg, FL 34788 | 2007-01-16 |
| 1174628481 | Foy Edward Dark Jr. | Chiropractor | 32629 Blossom Lane, Leesburg, FL 34788 | 2006-09-13 |
| 1033220744 | Miguel A Gonzalez | Internal Medicine | 33025 Professional Drive, Leesburg, FL 34788 | 2006-08-31 |
| 1215968821 | N Chandramohan Md Pa | Internal Medicine | 32845 Radio Road, Ste 102, Leesburg, FL 34788 | 2006-07-05 |
| 1548296361 | Endosurg Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 8100 Cr 44 Leg A, Leesburg, FL 34788 | 2006-06-23 |
| 1629014956 | Steven Joseph Nerad | Technician, Cardiology | 8135 Centralia Court, Suite 102, Leesburg, FL 34788 | 2006-06-22 |
| Find all providers in zip 34788 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760870257 | Rebecca Robinson Brabender | Emergency Medicine | 40690 Black Gold Pl, Leesburg, VA 20176-7199 | 2015-01-06 |
| 1811039555 | Patrick J. Fullerton | Emergency Medicine | 22326 Us Highway 27 Ste C, Leesburg, FL 34748 | 2007-02-12 |
| 1043358971 | Roshelle J Beckwith | Emergency Medicine | 952 Edwards Ferry Rd Ne, Metromed Urgent Care, Leesburg, VA 20176-3324 | 2007-02-02 |
| 1720170525 | Dahlia Charles | Emergency Medicine | 19535 Newberry Ter Unit 202, Leesburg, VA 20176-1201 | 2006-09-29 |
| 1942237086 | James R Oehler | Emergency Medicine | 25507 Beau Chene Ct, Leesburg, FL 34748-1803 | 2006-06-26 |
| 1417993718 | Zachary Malachias | Emergency Medicine | 44188 Riverpoint Dr, Leesburg, VA 20176-8206 | 2006-06-22 |
| 1669428371 | Pushpal R Banerjee | Emergency Medicine | 1301 N 14th St, Leesburg, FL 34748-3408 | 2006-05-25 |
| 1841242963 | Sean O'mara | Emergency Medicine | 161 Fort Evans Rd Ne Ste255, Leesburg, VA 20176 | 2006-05-17 |
| 1598723082 | Commonwealth Emergency Physicians PC | Emergency Medicine | 44045 Riverside Parkway, Loudoun Hospital Center, Leesburg, VA 20176 | 2006-05-03 |
| 1740289131 | Seth Louis Toback | Emergency Medicine | 19450 Deerfield Avenue, Suite 200, Leesburg, VA 20176 | 2005-07-18 |
| Find all providers in LEESBURG | ||||
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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.