JASON ROLAND DOMINGUEZ


Address: 315 E 5th St, Odessa, TX 79761-5133
Phone: 4323333433

JASON ROLAND DOMINGUEZ (NPI# 1861608424) 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) 1861608424
Entity Type Individual
Full Name JASON ROLAND DOMINGUEZ
Credential PA-C
Practice Address 315 E 5th St
Odessa
TX 79761-5133
Mailing Address 6213 Glenhaven Dr
Odessa
TX 79762-5022
Practice Telephone 4323333433
Mailing Telephone 4323620299
Enumeration Date 2007-05-14
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA04351 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 315 E 5TH ST
City ODESSA
State TX
Zip Code 79761-5133

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205949120 Ravikumar Vemuru Specialist 315 E 5th St, Odessa, TX 79761-5133 2006-08-16
1629386784 Odessa Endoscopy Center LLC Clinic/Center 315 E 5th St, Odessa, TX 79761-5133 2010-09-22
1295946259 Permian Gastroenterology Associates LLP Internal Medicine 315 E 5th St, Odessa, TX 79761-5133 2007-05-24
1740397397 Syam S Vemulapalli Internal Medicine 315 E 5th St, Odessa, TX 79761-5133 2006-08-23
1679686505 Permian Endoscopy Center Clinic/Center 315 E 5th St, Odessa, TX 79761-5133 2006-08-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407482003 Endovascular Lab Pllc Surgery 612 N Washington Avenue, Suite 100, Odessa, TX 79761 2020-03-16
1235627605 Megan Elizabeth Lemond Pediatrics 912 E 5th St, Odessa, TX 79761 2018-05-01
1922522630 Brian W Griffin Nurse Practitioner 4606 Fountain Ln., Odessa, TX 79761 2017-08-03
1023540507 Florenda De Guzman Nurse Practitioner 405 N Tom Green, Odessa, TX 79761 2017-04-03
1205378239 Scotty R Ortega Md Clinical Nurse Specialist 2487 E 11th Street, Odessa, TX 79761 2016-11-08
1487094355 Marivel Perez Nurse Practitioner 540 W 5th St Ste 350, Ste. 350, Odessa, TX 79761 2013-06-25
1245579804 Accurate Health Care LLC Home Health 302 Industrial Ave, Odessa, TX 79761 2013-02-01
1437421666 Mary Magdalene Garcia Speech-Language Pathologist 620 N. Alleghaney, Odessa, TX 79761 2012-02-03
1841576378 Ashley Burdex Family Medicine 6030 W University, Odessa, TX 79761 2011-10-28
1730465428 Therese A Archer Massage Therapist 712 N. Texas Ave, Odessa, TX 79761 2011-10-26
Find all providers in zip 79761

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891234969 Jesus Mendez Fuentes Physician Assistant 2224 Alameda Ct, Odessa, TX 79763-2273 2017-02-22
1649640392 Elesea Celeste Villegas Physician Assistant 701 West 5th Street, Odessa, TX 79763 2015-10-06
1184022758 Md Moinul Islam Physician Assistant 6030 W. University, Odessa, TX 79764 2014-12-15
1962711200 Ramnauth Robert Ramkissoon Physician Assistant 1940 E 42nd St Ste B, Odessa, TX 79762-5840 2010-10-05
1629304811 Erika Alfaro Salvo Physician Assistant 4222 Wendover Ave Ste 600, Odessa, TX 79762-5983 2009-10-23
1508002262 Javier E Espinoza Physician Assistant 1220 W. University, Odessa, TX 79763 2008-12-31
1679511802 J David Barr Physician Assistant 16734 Ivy Lake Dr, Odessa, FL 33556-6020 2006-06-02
1275171423 Kailani Alana Lee Decock Physician Assistant 520 E 6th St, Odessa, TX 79761-4527 2019-12-18
1255986402 Alexandra R Fierro Physician Assistant 720 Golder Ave, Odessa, TX 79761-4442 2019-08-05
1538714076 Stephanie Renee' Powell Physician Assistant 520 E 6th St, Odessa, TX 79761-4527 2019-08-01
Find all providers in ODESSA

Competitor

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City ODESSA
Zip Code 79761

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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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