CHAD M DOMANGUE (NPI# 1629286646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629286646 |
| Entity Type | Individual |
| Full Name | CHAD M DOMANGUE |
| Credential | MD |
| Practice Address |
76 Starbrush Cir Covington LA 70433-7208 |
| Practice Telephone | 9858010581 |
| Mailing Telephone | 9858010581 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2015-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
TP-366 | KY | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
202018 | LA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588929723 | Chad Jeremy Domangue | Nurse Practitioner | 1125 Marguerite St, Morgan City, LA 70380-1855 | 2012-07-12 |
| Street Address |
76 STARBRUSH CIR |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433-7208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154404275 | Intra-op Monitoring Services, LLC | Psychiatry & Neurology | 76 Starbrush Cir, Covington, LA 70433 | 2006-10-23 |
| 1609316066 | Neuroscience & Pain Institute LLC | Non-Pharmacy Dispensing Site | 76 Starbrush Cir, Covington, LA 70433-7208 | 2017-03-06 |
| 1932647971 | Brandie Brunet | Nurse Practitioner | 76 Starbrush Cir, Covington, LA 70433-7208 | 2017-02-10 |
| 1619426335 | Pain Associates Institute of Neurosciences | Pain Medicine | 76 Starbrush Cir, Covington, LA 70433-7208 | 2016-09-22 |
| 1457715930 | Garrett Michael Simoneaux | Physician Assistant | 76 Starbrush Cir, Covington, LA 70433-7208 | 2016-04-11 |
| 1003281577 | Neuroscience Center of The South | Physical Medicine & Rehabilitation | 76 Starbrush Cir, Covington, LA 70433-7208 | 2015-12-09 |
| 1659616696 | Diagnostic and Interventional Spinal Care of Louisiana | Orthopaedic Surgery | 76 Starbrush Cir, Covington, LA 70433-7208 | 2012-12-03 |
| 1447518386 | D'wan J Carpenter | Pain Medicine | 76 Starbrush Cir, Covington, LA 70433-7208 | 2012-04-29 |
| 1447549746 | New Jersey Neurophysiological Monitoring Serivces, PC | Psychiatry & Neurology | 76 Starbrush Cir, Covington, LA 70433 | 2011-04-07 |
| 1578852869 | New York Neurophysiological Monitoring Services, PC | Psychiatry & Neurology | 76 Starbrush Cir, Covington, LA 70433 | 2011-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
| 1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
| 1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
| 1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
| 1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
| 1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
| 1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| Find all providers in zip 70433 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619417607 | Segura Wellness, LLC | Pain Medicine | 7039 Highway 190 East Service Rd, Suite C, Covington, LA 70433-4961 | 2017-02-24 |
| 1306218284 | Sound Pain Alliance | Pain Medicine | 17615 Se 272nd St Ste 109, Covington, WA 98042-4957 | 2015-10-30 |
| 1528203957 | Neuroscience & Pain Institute LLC | Pain Medicine | 50 Louis Prima Dr, Suite A, Covington, LA 70433 | 2008-12-15 |
| 1003848649 | Rhee Wade Miller | Pain Medicine | 5303 Adams St Ne Ste B, Covington, GA 30014-6209 | 2006-07-06 |
| 1194795575 | Allan T Parr Jr. | Pain Medicine | 7015 Hwy 190 E Serv Rd, 101, Covington, LA 70433-4960 | 2006-01-26 |
| 1619426335 | Pain Associates Institute of Neurosciences | Pain Medicine | 76 Starbrush Cir, Covington, LA 70433-7208 | 2016-09-22 |
| 1972963635 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 5303 Adams St Ne, Suite B, Covington, GA 30014-6208 | 2016-02-24 |
| 1578938395 | Hanowell Spine Clinic LLC | Pain Medicine | 4142 Mill St Ne, Covington, GA 30014-2540 | 2015-12-04 |
| 1447518386 | D'wan J Carpenter | Pain Medicine | 76 Starbrush Cir, Covington, LA 70433-7208 | 2012-04-29 |
| 1639483100 | Hanowell Pain Management LLC | Pain Medicine | 5126 Hospital Dr Ne, Covington, GA 30014-2566 | 2010-07-27 |
| Find all providers in COVINGTON | ||||
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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.