DORIS DOMINGUE


Address: 130 Grasshopper Ln, Greentown, PA 18426-7449
Phone: 5708143009

DORIS DOMINGUE (NPI# 1750695151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750695151
Entity Type Individual
Full Name DORIS DOMINGUE
Credential ARDMS
Practice Address 130 Grasshopper Ln
Greentown
PA 18426-7449
Practice Telephone 5708143009
Mailing Telephone 5708143009
Enumeration Date 2010-07-28
Last Update Date 2010-07-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2471S1302X Radiologic Technologist
Specialization: Sonography
4066 PA Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 130 GRASSHOPPER LN
City GREENTOWN
State PA
Zip Code 18426-7449

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1316109986 Amanda Lee Karpien Counselor 104 Pickerel Ln, Greentown, PA 18426-3524 2008-06-25
1255654059 Jessica Abbott Pharmacist 125 Tra Mar Cove Ln, Greentown, PA 18426-4121 2010-03-08
1023092491 Jeffrey Allen Martin Anesthesiology 129 Valley View Rd, Greentown, PA 18426-4430 2005-11-30
1881651024 Vladimir Gressel Physical Medicine & Rehabilitation 109 Hemlock Ter S, Greentown, PA 18426-4463 2006-05-01
1770086738 Alexa Croley Physical Therapist 1564 Route 507 Ste C, Greentown, PA 18426-4502 2018-03-15
1093797797 Edward C Desmet Jr. Physical Therapist 1564 Route 507, Suite C, Greentown, PA 18426-4502 2005-11-17
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Taxonomy Information

Taxonomy Code 2471S1302X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist
Specialization Sonography

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144589888 Rosanne Crider Radiologic Technologist 107 Huckleberry Ln, Butler, PA 16002-0629 2012-05-15
1275805731 Samuel L Armfield Iv Radiologic Technologist 7861 Steubenville Pike, Oakdale, PA 15071-1023 2012-01-31
1205140423 John M Wolfe Radiologic Technologist 31 E Butler Ave, Ambler, PA 19002-4513 2010-07-29
1093986317 J Jeffrey Phillips Radiologic Technologist 1143 Brick Rd, Loretto, PA 15940-8207 2008-03-14
1417125592 J B L Imaging, Ltd Radiologic Technologist 8 Oakridge Dr, Langhorne, PA 19047-1049 2008-02-12
1831386135 Elizabeth Ikon Radiologic Technologist 1683 Silver Birch Rd, Huntingdon Vally, PA 19006-7754 2007-10-01
1144427972 Misty Sockman Radiologic Technologist 272 Chartwood Dr, Harrisburg, PA 17111-4167 2007-06-27
1326061722 Heera Sekhawat Radiologic Technologist 355 Neborlea Way, Collegeville, PA 19426-2139 2006-07-26
1952398257 Cardiac Imaging Associates, LLC Radiologic Technologist 3784 Silverwood Dr, York, PA 17402-4355 2005-10-02
1659709285 Kathleen Kerrigan Radiologic Technologist 31 E Butler Ave, Ambler, PA 19002-4510 2013-10-16
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Competitor

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City GREENTOWN
Zip Code 18426

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Dataset Information

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.

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