THOMAS JOSEPH DOMINGUEZ IV (NPI# 1568945004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568945004 |
| Entity Type | Individual |
| Full Name | THOMAS JOSEPH DOMINGUEZ IV |
| Practice Address |
2401 Frist Blvd Ste 5 Fort Pierce FL 34950-4800 |
| Practice Telephone | 7724658100 |
| Practice Fax Number | 7724658689 |
| Mailing Telephone | 7724658100 |
| Mailing Fax Number | 7724658689 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2020-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
4269 | CT | Allopathic & Osteopathic Physicians |
| N | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
4269 | CT | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 4269 | CT | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 4269 | CT | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | PA9113032 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 4269 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
4269 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437346566 | Thomas Paul Dominguez | Psychologist | 625 Truman St Ne, Albuquerque, NM 87110-6443 | 2007-10-02 |
| Street Address |
2401 FRIST BLVD STE 5 |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34950-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326452251 | Christopher Scott Mings | Specialist/Technologist | 2401 Frist Blvd Ste 5, Fort Pierce, FL 34950-4800 | 2014-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659853018 | New Day Counseling & Wellness, LLC | Clinic/Center | 130 S Indian River Drive Suite 202, Fort Pierce, FL 34950 | 2018-09-03 |
| 1548749351 | Jaber's Pharmacy, Inc. | Pharmacy | 2210 Orange Ave, Fort Pierce, FL 34950 | 2018-08-13 |
| 1386139699 | Pas Substance Abuse, Inc. | Substance Abuse Rehabilitation Facility | 2017 Avenue D, Fort Pierce, FL 34950 | 2018-06-28 |
| 1629573134 | Southeastern Dme LLC | Durable Medical Equipment & Medical Supplies | 200 S Indian River Dr Ste 300, Fort Pierce, FL 34950 | 2018-03-27 |
| 1962903666 | Serenity Dme LLC | Durable Medical Equipment & Medical Supplies | 111 N 2nd St Ste 101, Fort Pierce, FL 34950 | 2018-02-27 |
| 1417463068 | Ryan Nippes | Counselor | 1302 N Lawnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
| 1639685282 | Valencia Worrell | Counselor | 1302 N Lswnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
| 1194173153 | Angel French | Massage Therapist | 101 North Us1, Suite 117, Fort Pierce, FL 34950 | 2016-06-01 |
| 1780052951 | Alison Hess | Physician Assistant | 1700 S. 23rd St, Fort Pierce, FL 34950 | 2015-09-04 |
| 1629329784 | Dr. Rhaina A Smeds, Psyd Inc. | Psychologist | 100 Ave A, Ste 2d, Ft. Pierce, FL 34950 | 2012-09-28 |
| Find all providers in zip 34950 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851867105 | Steven Kurumada | Physician Assistant | 5101 Okeechobee Rd, Fort Pierce, FL 34947-5415 | 2018-10-14 |
| 1780052951 | Alison Hess | Physician Assistant | 1700 S. 23rd St, Fort Pierce, FL 34950 | 2015-09-04 |
| 1518334192 | Ellie Leonard | Physician Assistant | 1804 Blue Heron Ln, Fort Pierce, FL 34982-8049 | 2015-08-30 |
| 1679633317 | Kathleen Marie Thaxter | Physician Assistant | 727 North Us 1, Fort Pierce, FL 34950 | 2006-12-11 |
| 1235169665 | Vernon Alvin Wright | Physician Assistant | 2402 Frist Blvd Ste 204, Fort Pierce, FL 34950-4838 | 2006-07-03 |
| 1770585747 | Jennifer Simpson Ruprecht | Physician Assistant | 805 Virginia Ave, Suite 16, Fort Pierce, FL 34982-5881 | 2005-08-10 |
| 1841805686 | Leslie Ann Cooper | Physician Assistant | 2401 Frist Blvd Ste 4, Fort Pierce, FL 34950-4800 | 2020-09-09 |
| 1144850983 | Victoria Camille Ecker | Physician Assistant | 2402 Frist Blvd Ste 204, Fort Pierce, FL 34950-4838 | 2020-01-21 |
| 1871130427 | Lindsay Bowers | Physician Assistant | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2019-12-03 |
| 1306487400 | Tiffany Marie Black | Physician Assistant | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2019-10-01 |
| Find all providers in FORT PIERCE | ||||
| City | FORT PIERCE |
| Zip Code | 34950 |
Please comment or provide details below to improve the information on THOMAS JOSEPH DOMINGUEZ IV.
| 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.