MIRNOUVE DOMOND (NPI# 1609296052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609296052 |
| Entity Type | Individual |
| Full Name | MIRNOUVE DOMOND |
| Credential | D.O |
| Practice Address |
1505 West Sherman Ave Box 93 Vineland NJ 08360 |
| Mailing Address |
1505 W Sherman Ave Box93 Vineland NJ 08360-6912 |
| Practice Telephone | 7274521110 |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2019-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 84233 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1505 WEST SHERMAN AVE BOX 93 |
| City | VINELAND |
| State | NJ |
| Zip Code | 08360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534748 | Lindsay Gibbons | Social Worker | 60 W Ave, Vineland, NJ 08360 | 2020-10-07 |
| 1033769849 | Buena Vista Township Emergency Medical Services Inc. | Ambulance | 4931 E. Landis Ave., Vineland, NJ 08360 | 2019-09-13 |
| 1669037636 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | Elwyn New Jersey Supported Employment Small Group, 228 W. Landis Avenue, Suite 302, Vineland, NJ 08360 | 2019-05-06 |
| 1972001519 | Kyle James Knowles | Physician Assistant | 1138 East Chestnut Avenue, Building 8 Suite B, Vineland, NJ 08360 | 2018-01-29 |
| 1205346574 | Maryville, Inc | Clinic/Center | 1173 E Landis Ave, Vineland, NJ 08360 | 2017-10-02 |
| 1184147043 | Sarah Lee | Pharmacist | 75 W Landis Ave, Vineland, NJ 08360 | 2017-07-24 |
| 1780111419 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 30 D'shibe Terrace, Vineland, NJ 08360 | 2017-05-12 |
| 1528414810 | Khushbu V Janani | Internal Medicine | 1505 W Sherman Avenue, Inspira Health Network, Vineland, NJ 08360 | 2016-05-05 |
| 1669841409 | University Womens Imaging LLC | Clinic/Center | 1051 West Sherman Avenue, Suite 4a, Vineland, NJ 08360 | 2015-09-23 |
| 1710369350 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 46 N West Ave, Building A, Vineland, NJ 08360 | 2015-06-19 |
| Find all providers in zip 08360 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1528414810 | Khushbu V Janani | Internal Medicine | 1505 W Sherman Avenue, Inspira Health Network, Vineland, NJ 08360 | 2016-05-05 |
| 1063808665 | Advanced Medical Care, Inc | Internal Medicine | 521 S West Ave, Vineland, NJ 08360-5249 | 2015-04-09 |
| 1558674226 | Anshul Kumar | Internal Medicine | 1318 S Main Rd Ste 4a, Cumberland Nephrology Associates, Vineland, NJ 08360-6516 | 2010-07-22 |
| 1275769978 | Omar Al Ustwani | Internal Medicine | 1505 W. Sherman Avenue, Suite 101, Vineland, NJ 08360 | 2009-06-09 |
| 1578763033 | Lina Lourdes Rabor Fellizar | Internal Medicine | 2445 S Delsea Dr, Vineland, NJ 08360 | 2007-07-23 |
| 1003982729 | Sheldon Vischer Smith Sr. | Internal Medicine | 1676 E Landis Avenue, Vineland, NJ 08361 | 2006-11-27 |
| 1427165596 | Associated Specialists, Inc. | Internal Medicine | 1450 E Chestnut Ave Ste 3a, Vineland, NJ 08361 | 2006-08-24 |
| 1487760872 | Rajendra M Sharma | Internal Medicine | 319 North Eighth Street, Vineland, NJ 08360 | 2006-08-21 |
| 1881618932 | Cumberland Internal Medicine | Internal Medicine | 1550 E Chesnut Ave, Bldg 3 Suite A, Vineland, NJ 08361-8485 | 2006-07-26 |
| 1285650739 | Myra J Schached | Internal Medicine | 1676 E. Landis Avenue, Vineland, NJ 08360 | 2006-07-15 |
| Find all providers in VINELAND | ||||
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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.