Samantha Domingo (NPI# 1013336510, PAC ID# 2163794017) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1013336510 |
| PAC ID by PECOS | 2163794017 |
| Professional Enrollment ID | I20170828001599 |
| Full Name | Samantha Domingo |
| Organization Legal Name | GOOD SAMARITAN HOSPITAL CORVALLIS |
| Address |
3521 Nw Samaritan Dr Suite 201 Corvallis OR 97330-4744 |
| Phone Number | 5417685140 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 1557270725 |
| Number of Group Practice Members | 278 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380014 | GOOD SAMARITAN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3521 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330-4744 | 5417685140 | GOOD SAMARITAN HOSPITAL CORVALLIS |
| Organization Legal Name | GOOD SAMARITAN HOSPITAL CORVALLIS |
| Physicians | 303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Rosevelt Jones | Psychiatry | Good Samaritan Hospital Corvallis | 1052 29th Ave Sw, Albany, OR 97321-3416 |
| Moacyr Ribeiro De Oliveira | Hematology/oncology | Good Samaritan Hospital Corvallis | 501 Nw Elks Dr, Suite 100, Corvallis, OR 97330-3757 |
| Jonathan D Jones | Rheumatology | Good Samaritan Hospital Corvallis | 3620 Nw Samaritan Dr, Suite 203a, Corvallis, OR 97330-4714 |
| Michaela Jae Williams | Physician Assistant | Good Samaritan Hospital Corvallis | 996 Nw Circle Blvd, Suite 103, Corvallis, OR 97330-1485 |
| Erin Marin Kettler | Physical Therapy | Good Samaritan Hospital Corvallis | 815 Nw 9th St, Suite 180, Corvallis, OR 97330-6173 |
| Christopher P Kargel | Osteopathic Manipulative Medicine | Good Samaritan Hospital Corvallis | 3517 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330-3769 |
| Travis Michael Obermire | Physical Therapy | Good Samaritan Hospital Corvallis | 845 Sw 30th St, Corvallis, OR 97331-8629 |
| Nancy L Nelson | Pediatric Medicine | Good Samaritan Hospital Corvallis | 1112 Nw Circle Blvd, Corvallis, OR 97330-1462 |
| Kevin Chiappone | Physician Assistant | Good Samaritan Hospital Corvallis | 990 Nw Circle Blvd, Corvallis, OR 97330-1967 |
| Jenny A Miller | Certified Nurse Midwife (cnm) | Good Samaritan Hospital Corvallis | 3640 Nw Samaritan Dr, Suite 220, Corvallis, OR 97330-3784 |
| Street Address |
3521 NW SAMARITAN DR SUITE 201 |
| City | CORVALLIS |
| State | OR |
| Zip | 97330-4744 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria R Clark Harmon | Nurse Practitioner | Good Samaritan Hospital Corvallis | 3521 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330-4744 |
| Ryan J De Lee | Gastroenterology | Corvallis Gastroenterology PC | 3521 Nw Samaritan Dr, Suite 101, Corvallis, OR 97330-4744 |
| Deidre I Greene | Nurse Practitioner | Good Samaritan Hospital Corvallis | 3521 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330-4744 |
| Morgan Bahm | Nurse Practitioner | Good Samaritan Hospital Corvallis | 3521 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330-4744 |
| James Franklin Pierce Iii | Internal Medicine | Good Samaritan Hospital Corvallis | 3521 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330-4744 |
| Hsichao Chow | Gastroenterology | Corvallis Gastroenterology PC | 3521 Nw Samaritan Dr, Suite 101, Corvallis, OR 97330-4744 |
| Cosimo N Storniolo | Internal Medicine | Good Samaritan Hospital Corvallis | 3521 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330-4744 |
| Anne Marie Marie Collum | Internal Medicine | Good Samaritan Hospital Corvallis | 3521 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330-4744 |
| Samantha Rao Shah | Internal Medicine | Good Samaritan Hospital Corvallis | 3521 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330-4744 |
| Gregory D Schwartz | Gastroenterology | Corvallis Gastroenterology PC | 3521 Nw Samaritan Dr, Suite 101, Corvallis, OR 97330-4744 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George R House Iii | Chiropractic | 999 Nw Circle Blvd, Corvallis, OR 97330-1408 | |
| John Winckler | Chiropractic | 999 Nw Circle Blvd, Corvallis, OR 97330-1408 | |
| Michael W Sorah | Chiropractic | 999 Nw Circle Blvd, Corvallis, OR 97330-1408 | |
| Todd D Bilby | Chiropractic | 970 Nw Circle Blvd, Corvallis, OR 97330-1410 | |
| Nancy L Nelson | Pediatric Medicine | Good Samaritan Hospital Corvallis | 1112 Nw Circle Blvd, Corvallis, OR 97330-1462 |
| Michaela Jae Williams | Physician Assistant | Good Samaritan Hospital Corvallis | 996 Nw Circle Blvd, Suite 103, Corvallis, OR 97330-1485 |
| Richard C Havard | Plastic and Reconstructive Surgery | Good Samaritan Hospital Corvallis | 996 Nw Circle Blvd, Suite 103, Corvallis, OR 97330-1485 |
| Kindra Talia Newhart | Physician Assistant | Good Samaritan Hospital Corvallis | 996 Nw Circle Blvd, Suite 103, Corvallis, OR 97330-1485 |
| Kathleen A Lynch | Physical Therapy | 2323 Nw 9th St, Corvallis, OR 97330-1573 | |
| Erica D Prince | Psychologist, Clinical | 2945 Nw Mulkey Ave, Corvallis, OR 97330-1836 | |
| Find all physicians in zip 97330 | |||
| City | CORVALLIS |
| Zip Code | 97330 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | CORVALLIS + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Samantha Domingo.
| 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.