JOANN DOMZALSKI (NPI# 1306494794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306494794 |
| Entity Type | Individual |
| Full Name | JOANN DOMZALSKI |
| Practice Address |
857 E 8th Pl Mesa AZ 85203-5605 |
| Practice Telephone | 6027908237 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
857 E 8TH PL |
| City | MESA |
| State | AZ |
| Zip Code | 85203-5605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147195 | Armada Group-az, LLC | Residential Treatment Facility, Physical Disabilities | 1612 E. Knoll Circle, Mesa, AZ 85203 | 2020-02-27 |
| 1598251142 | Jonathan Harris | Physician Assistant | 220 N Stapley Dr Ste B, Mesa, AZ 85203 | 2018-07-06 |
| 1316437502 | Arizona's Children Association | Clinic/Center | 1345 E Main St Ste 104, Mesa, AZ 85203 | 2018-05-14 |
| 1922506856 | Hernimarc Durable Medical Equipment | Durable Medical Equipment & Medical Supplies | 1350 E Mckellips Rd Ste 3, Mesa, AZ 85203 | 2018-01-25 |
| 1912411638 | Charles Rudy Wermuth | Surgery | Charles R. Mermuth M.d., 2615 N Barkley, Mesa, AZ 85203 | 2017-11-17 |
| 1841714631 | J. Susanne Davis | Chiropractor | 62 N. Stapley Drive, Mesa, AZ 85203 | 2017-08-02 |
| 1699295329 | Preferred Homecare Infusion LLC | Home Health | 1134 E University Dr Ste 110, Mesa, AZ 85203 | 2017-06-23 |
| 1619407442 | Modern Vascular Institute LLC | Internal Medicine | 535 E Mckellips Rd Ste 115, Mesa, AZ 85203 | 2017-06-14 |
| 1962951632 | Julia A. Gunthner | Counselor | 1528 E. Gary St., Mesa, AZ 85203 | 2016-09-23 |
| 1689121105 | Justine Muntz | Occupational Therapy Assistant | 1304 E. Harvest, Mesa, AZ 85203 | 2016-09-01 |
| Find all providers in zip 85203 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770191181 | Valerie Ann Beuschlein | Technician | 1507 N Sterling, Mesa, AZ 85207-3830 | 2020-07-21 |
| 1487292173 | Amber P Bradshaw | Technician | 2855 S Extension Rd Unit 259, Mesa, AZ 85210-8282 | 2019-12-13 |
| 1982255089 | Wendy Clement | Technician | 2219 S El Marino, Mesa, AZ 85202-6471 | 2019-09-20 |
| 1891343760 | Dionne Nick | Technician | 4135 E Crescent Ave, Mesa, AZ 85206-1950 | 2019-09-03 |
| 1962050211 | Ruby Evans | Technician | 11332 E Solina Cir, Mesa, AZ 85212-7038 | 2019-08-29 |
| 1043867351 | Michelle Guy | Technician | 10452 E Irwin Cir, Mesa, AZ 85209-7722 | 2019-08-21 |
| 1952967788 | Janice Marie Armstrong | Technician | 461 N Yucca Cir, Mesa, AZ 85201-4551 | 2019-05-16 |
| 1225516578 | Yakov Yushuvayev | Technician | 420 E Southern Ave Ste 110a, Mesa, AZ 85204-4945 | 2018-07-30 |
| 1295213544 | Grand Canyon Home Care Inc. | Technician | 420 E Southern Ave Ste 110a, Mesa, AZ 85204-4945 | 2018-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760525 | Ayomikun Ajulo | Technician | 7426 W Cheryl Dr, Peoria, AZ 85345-6723 | 2020-11-05 |
| 1306458609 | Tammy Kloser | Technician | 21738 N 91st Ln, Peoria, AZ 85382-8345 | 2020-08-18 |
| 1669090114 | Rogers K Bagia | Technician | 3141 W Maldonado Rd, Phoenix, AZ 85041-6372 | 2020-07-10 |
| 1780201087 | Jovanna A Noriega | Technician | 4533 E Rolling Ridge Rd, San Tan Valley, AZ 85140-9576 | 2020-07-02 |
| 1689291320 | Andrew Young | Technician | 9980 N Hacienda Hermosa Dr, Tucson, AZ 85737-3645 | 2020-06-29 |
| 1730706730 | Shindona Duffey | Technician | 16069 W Sierra St, Goodyear, AZ 85338-3575 | 2020-06-25 |
| 1679197883 | Amanda Lee Pethers | Technician | 13820 S 44th St Apt 1129, Phoenix, AZ 85044-4857 | 2020-06-03 |
| 1063049385 | Natacha Clerfond | Technician | 5728 N 67th Dr, Glendale, AZ 85303-4902 | 2020-03-25 |
| 1376177410 | Jo Ann Chavez | Technician | 13561 N Sandra Rd, Marana, AZ 85658-4132 | 2020-02-27 |
| 1639701170 | Penelope Thompson | Technician | 1728 W Elm St, Phoenix, AZ 85015-3865 | 2020-02-11 |
| Find all providers with the same taxonomy | ||||
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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.