DR. EDWARD A DOMINGUEZ (NPI# 1598765828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598765828 |
| Entity Type | Individual |
| Full Name | DR. EDWARD A DOMINGUEZ |
| Credential | M.D. |
| Practice Address |
1411 N Beckley Ave Pav IIi Ste#268 Dallas TX 75203-1259 |
| Practice Telephone | 2149474400 |
| Practice Fax Number | 2149474404 |
| Mailing Telephone | 2149474400 |
| Mailing Fax Number | 2149474404 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2009-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
H1951 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 147373806 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134579162 | Edward Dominguez | Dentist | 201 Route 17, 12th Floor, Rutherford, NJ 07070-2574 | 2016-06-21 |
| 1467400697 | Edward Paul Dominguez | Surgery | 3545 Olentangy River Rd, Suite 525, Columbus, OH 43214-3907 | 2006-05-04 |
| Street Address |
1411 N BECKLEY AVE PAV III STE#268 |
| City | DALLAS |
| State | TX |
| Zip Code | 75203-1259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760481246 | Sarah Lynn Helfand | Pediatrics | 1411 N Beckley Ave, Suite 164, Dallas, TX 75203-1259 | 2005-07-18 |
| 1003321936 | Kathleen Ubina | Pharmacist | 1411 N Beckley Ave, Dallas, TX 75203-1259 | 2017-12-14 |
| 1245743624 | Whitney Lee Mcclung | Nurse Practitioner | 1411 N Beckley Ave, Pavilion IIi, Suite 152, Dallas, TX 75203 | 2017-11-08 |
| 1780116129 | Kylie Rhea Rutherford | Physician Assistant | 1411 N Beckley Ave, Pavillion IIi, Suite 152, Dallas, TX 75203-1259 | 2017-04-03 |
| 1437695863 | Lisa Montgomery | Nurse Practitioner | 1411 N Beckley Ave, Pavilion IIi, Suite 152, Dallas, TX 75203-1259 | 2017-01-09 |
| 1477916922 | Jillian Robinson | Physician Assistant | 1411 N Beckley Ave, Suite 363, Dallas, TX 75203-1259 | 2016-04-01 |
| 1720445638 | Head & Neck Surgery of North Texas Pllc | Oral & Maxillofacial Surgery | 1411 N Beckley Ave, Pavilion IIi, Suite 152, Dallas, TX 75203-1259 | 2016-01-22 |
| 1316322423 | Kelley Lynn Hanna | Nurse Practitioner | 1411 N Beckley Ave, Pavillion 3 Ste 152, Dallas, TX 75203-1259 | 2015-07-30 |
| 1063896520 | Pinnacle Anesthesia Consultants, Pllc | Anesthesiology | 1411 N Beckley Ave, Pav. IIi, Suite 152, Dallas, TX 75203-1259 | 2015-07-15 |
| 1306228291 | Sarah Breanne Smith | Nurse Practitioner | 1411 N Beckley Ave, Pav IIi Ste#152, Dallas, TX 75203 | 2015-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386264125 | Dylan Lopez | Internal Medicine | Methodist Health System, Methodist Dallas Medical Center 1441 N. Beckley Ave., Dallas, TX 75203 | 2020-04-22 |
| 1902303183 | Sarah Mcferon | Nurse Practitioner | 1411 N. Beckley Ave, Pavilion IIi Suite 268, Dallas, TX 75203 | 2018-04-12 |
| 1659727030 | Kathy Lightsey | Counselor | 1836 Berwick Ave, Dall, TX 75203 | 2016-05-04 |
| 1659712453 | Maura M Mcglynn | Occupational Therapist | 1520 North Beckley Ave 1033, Dallas, TX 75203 | 2013-07-10 |
| 1093153454 | Adrienne Workman | Internal Medicine | 1441 North Beckley Avenue, Dallas, TX 75203 | 2013-06-07 |
| 1851642490 | April Rebecca Meras | Nurse Practitioner | 610 E Jefferson Blvd Ste 110, Dallas, TX 75203 | 2012-09-22 |
| 1699081612 | East Run Management, Ltd. Company | Alzheimer Center (Dementia Center) | 2653 Cedar Crest Blvd, Dallas, TX 75203 | 2010-08-27 |
| 1538471305 | Preetivi Ellis | Internal Medicine | 1441 N Beckley Ave Fl 4, Dallas, TX 75203 | 2010-07-09 |
| 1306085378 | Maggie Fardella | Counselor | 201 E 9th St, Dallas, TX 75203 | 2009-02-13 |
| 1811159122 | Maryam Raza Md Pa | Internal Medicine | 1441 N. Beckley, Dallas, TX 75203 | 2008-06-27 |
| Find all providers in zip 75203 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437437860 | Abby Ann Lau | Internal Medicine | 5323 Harryn Hines Boulevard, Dallas, TX 75390-7201 | 2011-08-02 |
| 1194025064 | William L Sutker, Md, Pa | Internal Medicine | 2929 Carlisle, Suite 260, Dallas, TX 75204-4068 | 2010-10-26 |
| 1427219690 | Jason Wesley Gillman | Internal Medicine | 219 Sunset Ave Ste 116a, Dallas, TX 75208-4531 | 2008-06-20 |
| 1396965935 | Zartash Zafar Khan | Internal Medicine | 2990 Blackburn St, Ste 1102, Dallas, TX 75204-3113 | 2007-04-26 |
| 1326136292 | Durward Allen Watson | Internal Medicine | 2909 Lemmon Avenue, Dallas, TX 75204 | 2006-10-10 |
| 1083669543 | Christopher Joseph Bettacchi | Internal Medicine | 3409 Worth St Suite 710, Dallas, TX 75246-2060 | 2006-05-23 |
| 1427012152 | Suzanne Yuri Wada | Internal Medicine | 3409 Worth St Ste 710, Dallas, TX 75246-2060 | 2006-04-12 |
| 1891757613 | Gary I Sinclair | Internal Medicine | 219 Sunset Ave, Dallas, TX 75208-4599 | 2006-04-05 |
| 1962471128 | Nicholaos C Bellos | Internal Medicine | 2603 Oak Lawn Ave, 500, Dallas, TX 75219-4021 | 2006-03-17 |
| 1609852813 | Aids Arms, Inc. | Internal Medicine | 4922 Spring Ave, Dallas, TX 75210-1359 | 2005-12-20 |
| Find all providers in DALLAS | ||||
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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.