Scott J Domingue (NPI# 1770513731, PAC ID# 1759331127) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1770513731 |
| PAC ID by PECOS | 1759331127 |
| Professional Enrollment ID | I20050125000224 |
| Full Name | Scott J Domingue |
| Organization Legal Name | ST MARY EMERGENCY GROUP LLC |
| Address |
1125 Marguerite St Morgan City LA 70380-1855 |
| Phone Number | 9853804434 |
| Gender | M |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 1998 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 7810926995 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190014 | TECHE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1125 Marguerite St, Morgan City, LA 70380-1855 | 9853804434 | ST MARY EMERGENCY GROUP LLC |
| Organization Legal Name | ST MARY EMERGENCY GROUP LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole Renee Landry | Nurse Practitioner | St Mary Emergency Group LLC | 1125 Marguerite St, Morgan City, LA 70380-1855 |
| Callie M Baskett | Nurse Practitioner | St Mary Emergency Group LLC | 1125 Marguerite St, Morgan City, LA 70380-1855 |
| Jennifer Boudreaux | Nurse Practitioner | St Mary Emergency Group LLC | 1125 Marguerite St, Morgan City, LA 70380-1855 |
| William Casey Frew | Emergency Medicine | St Mary Emergency Group LLC | 1125 Marguerite St, Morgan City, LA 70380-1855 |
| Bradley D Kieffer | Emergency Medicine | St Mary Emergency Group LLC | 1125 Marguerite St, Morgan City, LA 70380-1855 |
| Ryan Bird | Emergency Medicine | St Mary Emergency Group LLC | 1125 Marguerite St, Morgan City, LA 70380-1855 |
| Street Address |
1125 MARGUERITE ST |
| City | MORGAN CITY |
| State | LA |
| Zip | 70380-1855 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John D Mathieu | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1125 Marguerite St, Morgan City, LA 70380-1855 |
| Jeanne M Breaux | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1125 Marguerite St, Morgan City, LA 70380-1855 |
| Nicole Renee Landry | Nurse Practitioner | St Mary Emergency Group LLC | 1125 Marguerite St, Morgan City, LA 70380-1855 |
| Larry Nelson | Anesthesiology | Youngs Professional Services LLC | 1125 Marguerite St, Morgan City, LA 70380-1855 |
| Heidi B Rodrigue | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1125 Marguerite St, Morgan City, LA 70380-1855 |
| Charles H Hawthorne | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1125 Marguerite St, Morgan City, LA 70380-1855 |
| Callie M Baskett | Nurse Practitioner | St Mary Emergency Group LLC | 1125 Marguerite St, Morgan City, LA 70380-1855 |
| Jennifer Boudreaux | Nurse Practitioner | St Mary Emergency Group LLC | 1125 Marguerite St, Morgan City, LA 70380-1855 |
| William Casey Frew | Emergency Medicine | St Mary Emergency Group LLC | 1125 Marguerite St, Morgan City, LA 70380-1855 |
| Cyrus K Kiyanfar | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1125 Marguerite St, Morgan City, LA 70380-1855 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Milton B Kidd Iii | Optometry | 1301 Victor II Blvd, B, Morgan City, LA 70380-1305 | |
| Sarah P Romero | Nurse Practitioner | Cardiovascular Institute of The South, Apmc | 1231 David Dr, Morgan City, LA 70380-1321 |
| Chase Mitchell Webre | Occupational Therapy | Laborde Therapy Center LLC | 1231 David Dr, Morgan City, LA 70380-1321 |
| Erin Kate Doucet | Occupational Therapy | Laborde Therapy Center LLC | 1231 David Dr, Morgan City, LA 70380-1321 |
| Mary E M Osborne | Qualified Audiologist | 1100 N Victor II Blvd, Morgan City, LA 70380-1331 | |
| Natchez Morice Iii | Obstetrics/gynecology | 1216 N Victor II Blvd, Suite 100, Morgan City, LA 70380-1333 | |
| Jeffrey C Fitter | Orthopedic Surgery | Morgan City Orthopedic Clinic | 1234 David Dr, Suite 103, Morgan City, LA 70380-1369 |
| Mickey Viator | Internal Medicine | 1216 N Victor II Blvd, Suite 500, Morgan City, LA 70380-1382 | |
| Keith M Comeaux | Optometry | 1301 Victor II Blvd, Suite B, Morgan City, LA 70380-1454 | |
| Maryellon Allen | Family Medicine | 1302 Lakewood Dr, Morgan City, LA 70380-1800 | |
| Find all physicians in zip 70380 | |||
| City | MORGAN CITY |
| Zip Code | 70380 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | MORGAN CITY + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Scott J Domingue.
| 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.