THOMAS M DOMANICK DPM (NPI# 1235316597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235316597 |
| Entity Type | Organization |
| Organization Name | THOMAS M DOMANICK DPM |
| Practice Address |
1825 Barnum Ave Stratford CT 06614-5333 |
| Mailing Address |
1825 Barnum Ave Suite 302 Stratford CT 06614-5333 |
| Practice Telephone | 2033771777 |
| Practice Fax Number | 2033788348 |
| Mailing Telephone | 2033771777 |
| Mailing Fax Number | 2033788348 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2012-11-07 |
| Authorized Official Name | THOMAS M DOMANICK (OWNER) |
| Authorized Official Telephone | 2033771777 |
| Authorized Official Credential | D,P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | POO289 | CT | Allopathic & Osteopathic Physicians |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
POO289 | CT | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1825 BARNUM AVE |
| City | STRATFORD |
| State | CT |
| Zip Code | 06614-5333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629012661 | Thomas M Domanick | Podiatrist | 1825 Barnum Ave, Stratford, CT 06614-5333 | 2006-06-16 |
| 1376931311 | St. Vincent's Multispecialty Group | Durable Medical Equipment & Medical Supplies | 1825 Barnum Ave, Stratford, CT 06614-5333 | 2014-12-29 |
| 1265747323 | Maria Delvecchio Valerian | Social Worker | 1825 Barnum Ave, Suite 304, Stratford, CT 06614-5333 | 2010-08-13 |
| 1457662181 | Carla M Monteiro | Dentist | 1825 Barnum Ave, Suite 303, Stratford, CT 06614-5333 | 2010-06-28 |
| 1962641951 | Joyce A Evon | Counselor | 1825 Barnum Ave, #304, Stratford, CT 06614-5333 | 2009-02-13 |
| 1972647600 | Pulmonary Rehabilitation Associates, LLC | Internal Medicine | 1825 Barnum Ave, Suite 203, Stratford, CT 06614-5333 | 2007-02-16 |
| 1134298748 | Alan Goldberg | Dentist | 1825 Barnum Ave, Suite 303, Stratford, CT 06614-5333 | 2006-11-07 |
| 1588733133 | Elke W Cheung | Dentist | 1825 Barnum Ave, Suite 303, Stratford, CT 06614-5333 | 2006-11-07 |
| 1629147277 | Andrew M Marcus | Dentist | 1825 Barnum Ave, Suite 303, Stratford, CT 06614-5333 | 2006-11-07 |
| 1447329909 | John Tanzilli | Dentist | 1825 Barnum Ave, Suite 303, Stratford, CT 06614-5333 | 2006-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588139604 | David A Crosby | Physician Assistant | 125 Pumpkin Ground Road, Stratford, CT 06614 | 2018-10-04 |
| 1710489232 | Karen Marie Laconte | Naturopath | 720 Hilltop Dr, Stratford, CT 06614 | 2018-02-28 |
| 1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
| 1558801423 | Kristine Lynn Conlan | Physical Therapist | 55 Pasadena Ave., Stratford, CT 06614 | 2017-02-27 |
| 1811440258 | Seokwon Kwon | Dentist | 320 Boston Ave, Stratford, CT 06614 | 2016-08-02 |
| 1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
| 1417328634 | Kelley Machado | Social Worker | 2127 Nichols Ave, Stratford, CT 06614 | 2015-10-14 |
| 1043629553 | Jennifer Woods-mesquita | Social Worker | 125 Greenlawn Ave, Stratford, CT 06614 | 2014-08-08 |
| 1437564010 | Jose R. Pacheco | Obstetrics & Gynecology | 120 Brightwood Ave, Stratford, CT 06614 | 2014-06-23 |
| 1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
| Find all providers in zip 06614 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306199351 | Starling Physicians PC | Podiatrist | 160 Hazard Ave, Enfield, CT 06082-3889 | 2012-10-15 |
| 1073887923 | Bruce M Backer | Podiatrist | 272 Charles Ct, Orange, CT 06477-1629 | 2012-02-23 |
| 1275617102 | Podiatric Medicine and Surgery of Fairfield County | Podiatrist | 49 Londonderry Dr, Greenwich, CT 06830-3508 | 2006-10-25 |
| 1679655443 | Central Connecticut Footcare Center, LLC | Podiatrist | 807 Broad St., Meriden, CT 06450-3802 | 2006-10-20 |
| 1689782401 | Chris Paul Kassaris | Podiatrist | 1881 Post Rd, Fairfield, CT 06824-5721 | 2006-08-29 |
| 1184632028 | Peter T Labarbera | Podiatrist | 389 Highland Ave, Waterbury, CT 06708 | 2006-08-04 |
| 1487684288 | Harvey D. Lederman | Podiatrist | 2531 Albany Ave, West Hartford, CT 06117-2308 | 2006-07-04 |
| 1588694764 | Luca Di Matteo | Podiatrist | 538 Hopmeadow St, Simsbury, CT 06070-2415 | 2006-07-04 |
| 1669421665 | Anthony Babigian | Podiatrist | 520 West Ave, Norwalk, CT 06850-4034 | 2006-05-08 |
| 1568427607 | Benedict Charles Valentine II | Podiatrist | 8 Independence Dr, Marlborough, CT 06447-1408 | 2006-04-20 |
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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.