ANTHONY M DOMINIC SR DO PC (NPI# 1922006204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922006204 |
| Entity Type | Organization |
| Organization Name | ANTHONY M DOMINIC SR DO PC |
| Practice Address |
850 S Ironwood Dr Ste 104 Apache Junction AZ 85220-6242 |
| Practice Telephone | 4809821265 |
| Practice Fax Number | 4809828831 |
| Mailing Telephone | 4809821265 |
| Mailing Fax Number | 4809828831 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2008-01-14 |
| Authorized Official Name | DR. ANTHONY M DOMINIC SR. (PRESIDENT) |
| Authorized Official Telephone | 4809821265 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 34002451 | OH | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 1833 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 160127 | 05 | |
| AZ | BCBS | AZ0390340 | 01 |
| AZ | HEALTHNET | 1Z0948 | 01 |
| Street Address |
850 S IRONWOOD DR STE 104 |
| City | APACHE JUNCTION |
| State | AZ |
| Zip Code | 85220-6242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942607296 | Quigley Family Medical, LLC | Nurse Practitioner | 850 S Ironwood Dr, 104, Apache Junction, AZ 85120-6242 | 2014-12-02 |
| 1912252081 | Jason Ryan Branson | Physical Therapist | 850 S Ironwood Dr, Suite 112, Apache Junction, AZ 85120-6242 | 2012-07-16 |
| 1679852289 | Branson Physical Therapy, LLC | Clinic/Center | 850 S Ironwood Dr, Suite 112, Apache Junction, AZ 85120-6242 | 2011-08-12 |
| 1386836450 | Addiction Services, P.c | Community/Behavioral Health | 850 S Ironwood Dr, Suite 108, Apache Junction, AZ 85220-6242 | 2007-08-13 |
| 1114906930 | Garry W. Branson | Physical Therapist | 850 S Ironwood Dr, Suite 112, Apache Junction, AZ 85120-6242 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144598996 | Amelia Shah | Pharmacist | 185 W Apache Trail, Apache Junction, AZ 85220 | 2011-12-08 |
| 1528280153 | Archish Arvind Patel | Pharmacist | 185 W. Apache Tr., Apache Junction, AZ 85220 | 2007-05-03 |
| 1629298476 | Jill Diane Gottschalk | Pharmacist | Fry's Pharmacy, 185 W Apache Trail, Apache Junction, AZ 85220 | 2007-04-26 |
| 1194847814 | Assisted Living Concepts Inc | Assisted Living Facility | 675 West Broadway, Apache Junction, AZ 85220 | 2007-04-04 |
| 1467517177 | Lora A Andrews | Physical Therapist | 10241 E Apache Trail, Apache Junction, AZ 85220 | 2006-12-22 |
| 1043372097 | Jill Elizabeth Russo | Technician | 2017 S Thunderbird Dr, Apache Junction, AZ 85220 | 2006-12-15 |
| 1053490029 | Kenneth K Leung | Internal Medicine | 2066 W Apache Trail #110, Apache Junction, AZ 85220 | 2006-11-02 |
| 1508831025 | Paula Ann Crinklaw | Nurse Practitioner | 1485 W Frontier St, Apache Junction, AZ 85220 | 2006-02-19 |
| 1033433826 | Innovative Health Partners LLC | Hospitalist | 2050 W Southern Ave, Apache Junction, AZ 85220 | 2010-03-23 |
| 1194048660 | Innovative Inpatient Services PC | Hospitalist | 2050 W Southern Ave, Apache Junction, AZ 85220 | 2010-03-11 |
| Find all providers in zip 85220 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265053524 | John C Lincoln, LLC | Family Medicine | 750 S Ironwood Dr Ste 103, Apache Junction, AZ 85120-5047 | 2020-04-28 |
| 1033640529 | Devin Lee Hon | Family Medicine | 300 S Phelps Dr, Apache Junction, AZ 85120-6700 | 2017-03-25 |
| 1174558365 | Joseph Bertrand D. Audette II | Family Medicine | 105 S Delaware Drive, Suites 1&2, Apache Junction, AZ 85120-6512 | 2006-07-12 |
| 1144617812 | Katelyn Geyer | Family Medicine | 2080 W Southern Ave Bldg B10, Apache Junction, AZ 85120 | 2015-04-21 |
| 1518266428 | Horizon Health and Wellness, Inc. | Family Medicine | 625 N Plaza Dr, Apache Junction, AZ 85120-5501 | 2011-03-17 |
| 1528383130 | Conrad M Lawrence | Family Medicine | 2080 W Southern Ave, Bldg. B10, Apache Junction, AZ 85120-7455 | 2010-04-07 |
| 1659398691 | Amrita Dhanjal-reddy | Family Medicine | 625 N Plaza Dr, Apache Junction, AZ 85120-5501 | 2006-07-16 |
| 1912935248 | Richard M Stratton | Family Medicine | 2080 W Southern Ave, Apache Junction, AZ 85220 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446349 | Holding Hands Medical Pllc | Family Medicine | 8515 S College Ln, Tempe, AZ 85284-2342 | 2020-10-29 |
| 1730789876 | Kara Lindsay | Family Medicine | 10293 N 92nd St Ste 100, Scottsdale, AZ 85258-4565 | 2020-10-28 |
| 1184238164 | Mobile Np Pllc | Family Medicine | 5807 E Vernon Ave, Scottsdale, AZ 85257-1941 | 2020-09-07 |
| 1194339200 | Madison Le | Family Medicine | 3037 W Cat Balue Dr, Phoenix, AZ 85027-2342 | 2020-09-04 |
| 1649884065 | Miranda Gamgah Njante | Family Medicine | 10445 E Pivitol Ave, Mesa, AZ 85212-8037 | 2020-09-02 |
| 1447864830 | Prevencare Health Services, LLC | Family Medicine | 750 Bartow Dr Ste 16, Sierra Vista, AZ 85635-1833 | 2020-09-02 |
| 1093328767 | Whole Health Primary Care LLC | Family Medicine | 7113 W Sophie Ln, Laveen, AZ 85339-3475 | 2020-08-24 |
| 1942811997 | Raquiel Santos | Family Medicine | 4301 Plaza Vis Apt C, Sierra Vista, AZ 85635-4323 | 2020-08-13 |
| 1609493402 | Old Pueblo Mobile Medicine LLC | Family Medicine | 9721 E Colette St, Tucson, AZ 85748-2756 | 2020-06-29 |
| 1386261386 | Lillian Dolores Puma | Family Medicine | 6349 E Joan De Arc Ave, Scottsdale, AZ 85254-3834 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
| City | APACHE JUNCTION |
| Zip Code | 85220 |
Please comment or provide details below to improve the information on ANTHONY M DOMINIC SR DO PC.
| 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.