DR. THERESA DOMERS (NPI# 1831160191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831160191 |
| Entity Type | Individual |
| Full Name | DR. THERESA DOMERS |
| Credential | M.D. |
| Practice Address |
172 W Woodglen Rd Spartanburg SC 29301-5305 |
| Practice Telephone | 8642788542 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2014-02-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 22953 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 229531 | 05 | |
| SC | SELECT HEALTH | 20051869 | 01 |
| SC | MEDCOST | 189204 | 01 |
| NC | 5902063 | 05 | |
| SC | AETNA | 5024654 | 01 |
| Street Address |
172 W WOODGLEN RD |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29301-5305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716253 | Proactive Md Tindall Spartanburg Health Center | Family Medicine | 2273 Hayne St., Spartanburg, SC 29301 | 2020-10-01 |
| 1841757192 | Paladina Health, LLC | Family Medicine | Paladina Health Smith Drug, 9098 Fairforest Road, Spartanburg, SC 29301 | 2019-02-22 |
| 1073021143 | Yamira Valentin-fuentes | Chiropractor | 210 Westgate Mall Dr, Suite 6, Spartanburg, SC 29301 | 2018-01-11 |
| 1124426382 | Shellie Smith | Social Worker | 101 Washington Place, Spartanburg, SC 29301 | 2014-12-19 |
| 1356751770 | Lindsey Marie Dillon | Counselor | 250 Dewey Ave., Spartanburg, SC 29301 | 2014-05-07 |
| 1568892461 | Lauren Campbell Heiser | Physical Therapist | 2660 Reidville Rd # 6&7, Spartanburg, SC 29301 | 2013-11-14 |
| 1871843227 | Amy L Roberts | Occupational Therapist | 355 Oak Grove Rd., Spartanburg, SC 29301 | 2012-09-13 |
| 1023384419 | Elizabeth B. Gurley | Pharmacist | 211 West Blackstock Rd, Spartanburg, SC 29301 | 2012-03-29 |
| 1649564063 | Brooke Webster Fuentes | Physician Assistant | 300 E Blackstock Road, Suite E, Spartanburg, SC 29301 | 2011-06-02 |
| 1487943023 | Margaret Elizabeth Wilson | Counselor | 100 Ezell St., Spartanburg, SC 29301 | 2011-04-05 |
| Find all providers in zip 29301 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033581384 | Doctors Care Sc, Pa | Emergency Medicine | 300 E Blackstock Rd, Suite E, Spartanburg, SC 29301-3787 | 2015-10-27 |
| 1205889409 | Bernard Augustus Corbett IIi | Emergency Medicine | 151 Peachwood Centre Dr, Spartanburg, SC 29301-2575 | 2006-05-18 |
| 1740250174 | Chloe P Brewington | Emergency Medicine | 101 East Wood St, Emergency Center, Spartanburg, SC 29303-3040 | 2006-01-26 |
| 1053846287 | Benjamin David Theobald | Emergency Medicine | 101 E Wood St, Spartanburg, SC 29303-3040 | 2017-04-25 |
| 1073046157 | Kristin Demosthenes Rowland | Emergency Medicine | 101 E Wood St, Spartanburg, SC 29303-3040 | 2017-04-06 |
| 1902250707 | Paulina Narendra Patel | Emergency Medicine | 101 E Wood St, Spartanburg, SC 29303-3040 | 2016-04-18 |
| 1568816536 | Warren Doyle | Emergency Medicine | 101 E Wood St, Spartanburg, SC 29303-3040 | 2016-04-15 |
| 1750720686 | Joseph G Sorber | Emergency Medicine | 101 E Wood St, Spartanburg, SC 29303 | 2013-06-25 |
| 1053654772 | Rosanna Patrice Couture | Emergency Medicine | 101 E Wood St, Spartanburg, SC 29303-3040 | 2013-04-01 |
| 1265775217 | Katherine Jane Langley | Emergency Medicine | 101 E Wood St, Spartanburg, SC 29303 | 2013-03-28 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29301 |
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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.