Omar Latimer Dominique (NPI# 1770996050, PAC ID# 0941524516) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1770996050 |
| PAC ID by PECOS | 0941524516 |
| Professional Enrollment ID | I20180904003276 |
| Full Name | Omar Latimer Dominique |
| Organization Legal Name | CARLE HEALTH CARE INCORPORATED |
| Address |
611 W Park St Urbana IL 61801-2500 |
| Phone Number | 8887122753 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3577515774 |
| Number of Group Practice Members | 752 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160153 | MERCY MEDICAL CENTER-SIOUX CITY |
| 140113 | PRESENCE COVENANT MEDICAL CENTER- URBANA |
| 140002 | ALTON MEMORIAL HOSPITAL |
| 140093 | PRESENCE UNITED SAMARITANS MEDICAL CENTER |
| 140307 | METRO-EAST SERVICES INC |
| Address | Phone | Organization |
|---|---|---|
| 1 Memorial Dr, Alton, IL 62002-6722 | 6184637240 | FAIRVIEW HEIGHTS MEDICAL GROUP SC |
| 1 Memorial Dr, Suite 1, Alton, IL 62002-6722 | 6184337066 | FAIRVIEW HEIGHTS MEDICAL GROUP SC |
| 155 E Bethalto Dr, Bethalto, IL 62010-1801 | 6186323343 | FAIRVIEW HEIGHTS MEDICAL GROUP SC |
| 406 Briarwood Dr, Suite 401, Jackson, MS 39206-3063 | ||
| 8600 State Route 91 130, Peoria, IL 61615-7829 | 3096835050 | OSF MULTI-SPECIALTY GROUP |
| 801 5th St, Sioux City, IA 51101-1326 | 7122792010 | WOODBURY PHYSICIAN SERVICES, PC |
| 1400 W Park St, Urbana, IL 61801-2334 | 3096553453 | OSF MULTI-SPECIALTY GROUP |
| 1818 E Windsor Rd, Urbana, IL 61802-9566 | 2172559500 | CARLE HEALTH CARE INCORPORATED |
| 611 W Park St, Urbana, IL 61801-2500 | 8887122753 | CARLE HEALTH CARE INCORPORATED |
| Organization Legal Name | CARLE HEALTH CARE INCORPORATED |
| Physicians | 730 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin M Lowe | General Surgery | Carle Health Care Incorporated | 509 W University Ave, Urbana, IL 61801-1645 |
| Erich Slocum | Family Medicine | Carle Health Care Incorporated | 1540 E Grove Ave, Rantoul, IL 61866-2736 |
| Sinisa Stanic | Radiation Oncology | Carle Health Care Incorporated | 1001 Heather Dr, Mahomet, IL 61853-2754 |
| Lindy Drollinger | Nurse Practitioner | Carle Health Care Incorporated | 610 N Lincoln Ave, Urbana, IL 61801-2432 |
| Katherine A Kwiatkowski | Psychiatry | Carle Health Care Incorporated | 611 W Park St, Urbana, IL 61801-2500 |
| Gerald Welch | Psychiatry | Carle Health Care Incorporated | 1813 W Kirby Ave, Suite 110, Champaign, IL 61821-5410 |
| Cora E Musial | Infectious Disease | Carle Health Care Incorporated | 1802 S Mattis Ave, Champaign, IL 61821-5923 |
| Nasreen Syed | Internal Medicine | Carle Health Care Incorporated | 1701 W Curtis Rd, Champaign, IL 61822-9678 |
| Richard Pearson | Orthopedic Surgery | Carle Health Care Incorporated | 2300 S 1st St, Champaign, IL 61820-7661 |
| Kristi S Esker | Nurse Practitioner | Carle Health Care Incorporated | 2512 Hurst Dr, 120 Carle Diagnostic Services and Convenient Care Matto, Mattoon, IL 61938-9200 |
| Street Address |
611 W PARK ST |
| City | URBANA |
| State | IL |
| Zip | 61801-2500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine A Kwiatkowski | Psychiatry | Carle Health Care Incorporated | 611 W Park St, Urbana, IL 61801-2500 |
| Elizabeth A Ackerson | Family Medicine | Carle Health Care Incorporated | 611 W Park St, Urbana, IL 61801-2500 |
| Emily Remington | Nurse Practitioner | Carle Health Care Incorporated | 611 W Park St, Urbana, IL 61801-2500 |
| Kendall E Wallace | Nurse Practitioner | Carle Health Care Incorporated | 611 W Park St, Urbana, IL 61801-2500 |
| Minwoo Kim | Certified Registered Nurse Anesthetist (crna) | Carle Health Care Incorporated | 611 W Park St, Urbana, IL 61801-2500 |
| Andy Arwari | Internal Medicine | Carle Health Care Incorporated | 611 W Park St, Urbana, IL 61801-2500 |
| Nancy M Charpentier-probst | Clinical Social Worker | Carle Health Care Incorporated | 611 W Park St, Urbana, IL 61801-2500 |
| Pardeep Kumar | Internal Medicine | Carle Health Care Incorporated | 611 W Park St, Urbana, IL 61801-2500 |
| Samih Barcham | Family Medicine | Carle Health Care Incorporated | 611 W Park St, Urbana, IL 61801-2500 |
| Jason Bethea | Neurology | Carle Health Care Incorporated | 611 W Park St, Urbana, IL 61801-2500 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel Elisha Kleber | Physical Therapy | 1804 N Lincoln Ave, Urbana, IL 61801-1023 | |
| Kevin M Lowe | General Surgery | Carle Health Care Incorporated | 509 W University Ave, Urbana, IL 61801-1645 |
| Kendrith M Rowland Jr. | Hematology/oncology | Carle Health Care Incorporated | 509 W University Ave, Urbana, IL 61801-1645 |
| Priyankkumar P Patel | Internal Medicine | Carle Health Care Incorporated | 509 W University Ave, Urbana, IL 61801-1645 |
| Kalika Sarma | Radiation Oncology | Carle Health Care Incorporated | 509 W University Ave, Urbana, IL 61801-1645 |
| Suparna Mantha | Hematology/oncology | Carle Health Care Incorporated | 509 W University Ave, Urbana, IL 61801-1645 |
| Vamsi Krishna Vasireddy | Hematology/oncology | Carle Health Care Incorporated | 509 W University Ave, Urbana, IL 61801-1645 |
| Kurtis A Mayz Jr. | Emergency Medicine | Shemauger Emergency Physicians LLC | 1400 W Park St, Urbana, IL 61801-2334 |
| Jagannadharao Brahmamdam | Diagnostic Radiology | East Central Illinois Radiology Associates, LLC | 1400 W Park, Radiology Dept, Urbana, IL 61801-2334 |
| Sathya Subbiah | Endocrinology | Christie Clinic, LLC | 1400 W Park St, Urbana, IL 61801-2334 |
| Find all physicians in zip 61801 | |||
| City | URBANA |
| Zip Code | 61801 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | URBANA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Omar Latimer Dominique.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.