DOMINIQUE FETERMAN JIMENEZ (NPI# 1770144958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770144958 |
| Entity Type | Individual |
| Full Name | DOMINIQUE FETERMAN JIMENEZ |
| Credential | MD |
| Practice Address |
Internal Medicine Associates Outpatient Pavilion 2 West 263 Farmington Avenue Farmington CT 06032 |
| Mailing Address |
263 Farmington Ave Farmington CT 06030-1921 |
| Practice Telephone | 8606794477 |
| Practice Fax Number | 8606791025 |
| Mailing Telephone | 8606792147 |
| Mailing Fax Number | 8606794624 |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
INTERNAL MEDICINE ASSOCIATES OUTPATIENT PAVILION 2 WEST 263 FARMINGTON AVENUE |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508499435 | Kelsey Erin Boyne | Student in an Organized Health Care Education/Training Program | 200 Academic Way, Farmington, CT 06032 | 2020-02-19 |
| 1760024723 | Baliram Maraj | Dentist | 801 Plainville Ave., Farmington, CT 06032 | 2019-10-11 |
| 1033770698 | Tiffany Otto | Nurse Practitioner | 27o Farmington Avenue, # 309, Farmington, CT 06032 | 2019-06-25 |
| 1124683941 | Aleksandra M Sliwinska | Student in an Organized Health Care Education/Training Program | Uconn Health Im Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 | 2019-05-07 |
| 1922663889 | Sean Ag Harford | Student in an Organized Health Care Education/Training Program | Uconn Health - Internal Medicine Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 | 2019-05-07 |
| 1710450507 | Kathy Jean Campbell | Occupational Therapist | 10 Birdseye Rd, Farmington, CT 06032 | 2019-01-04 |
| 1790273373 | Cameron Seymour | Dentist | 291 Farmington Ave Ste 5, Farmington, CT 06032 | 2018-04-29 |
| 1881181790 | Robin L Shahverdian LLC | Counselor | 304 Main St Ste D428, Farmington, CT 06032 | 2018-04-16 |
| 1588160998 | Sight Sensory Rehabilitation Center, Pllc | Optometrist | 10 Birdseye Road, Farmington, CT 06032 | 2018-04-04 |
| 1528591906 | Monique Marcelino | Specialist/Technologist | 373 Colt Hwy, Farmington, CT 06032 | 2017-04-04 |
| Find all providers in zip 06032 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949459 | Tamara Wittrock | Student in an Organized Health Care Education/Training Program | 5111 Robin Ln, Farmington, MN 55024-2007 | 2020-07-14 |
| 1700401759 | William Cody Alley | Student in an Organized Health Care Education/Training Program | 1136 Heather Cir, Farmington, UT 84025-4305 | 2020-06-15 |
| 1497370456 | Tanner Winger | Student in an Organized Health Care Education/Training Program | 1405 Fairway Cir, Farmington, UT 84025-2817 | 2020-06-15 |
| 1154945855 | Shelby Ann Oswald | Student in an Organized Health Care Education/Training Program | 19976 Butternut Trl, Farmington, MN 55024-1475 | 2020-05-29 |
| 1417579434 | Herbert E Downton Ramos | Student in an Organized Health Care Education/Training Program | Surgery Residency Program, 263 Farmington Avenue, Farmington, CT 06030-8073 | 2020-05-13 |
| 1710507272 | Ethan A Miller | Student in an Organized Health Care Education/Training Program | Uconn School of Medicine - Graduate Medical Education, 263 Farmington Avenue - Lm068, Farmington, CT 06030-1921 | 2020-04-24 |
| 1821617606 | David Wozny | Student in an Organized Health Care Education/Training Program | General Medicine Clinic, Outpatient Pavillion-2 East, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-13 |
| 1265061808 | Benjamin Mucci | Student in an Organized Health Care Education/Training Program | 43 Portage Xing, Farmington, CT 06032-2737 | 2020-04-06 |
| 1508495185 | Zachary Boivin | Student in an Organized Health Care Education/Training Program | Emergency Medicine Office, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-06 |
| 1508499435 | Kelsey Erin Boyne | Student in an Organized Health Care Education/Training Program | 200 Academic Way, Farmington, CT 06032 | 2020-02-19 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 06032 |
Please comment or provide details below to improve the information on DOMINIQUE FETERMAN JIMENEZ.
| 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.