Mark E Dome (NPI# 1265509004, PAC ID# 2365464021) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1265509004 |
| PAC ID by PECOS | 2365464021 |
| Professional Enrollment ID | I20051221000764 |
| Full Name | Mark E Dome |
| Organization Legal Name | DESERT EAR NOSE AND THROAT MEDICAL GROUP INC |
| Address |
39000 Bob Hope Dr W301 Rancho Mirage CA 92270-7036 |
| Phone Number | 7603404566 |
| Gender | M |
| Credential | PA |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6002909322 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050573 | EISENHOWER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 39000 Bob Hope Dr, W301, Rancho Mirage, CA 92270-7036 | 7603404566 | DESERT EAR NOSE AND THROAT MEDICAL GROUP INC |
| Organization Legal Name | DESERT EAR NOSE AND THROAT MEDICAL GROUP INC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Quinten M Vanderwerf | Otolaryngology | Desert Ear Nose and Throat Medical Group Inc | 39000 Bob Hope Dr, W301, Rancho Mirage, CA 92270-7036 |
| Christopher M Walz | Otolaryngology | Desert Ear Nose and Throat Medical Group Inc | 39000 Bob Hope Dr, W301, Rancho Mirage, CA 92270-7036 |
| Stuart Barton | Otolaryngology | Desert Ear Nose and Throat Medical Group Inc | 39000 Bob Hope Dr, W301, Rancho Mirage, CA 92270-7036 |
| Mark D Wilson | Otolaryngology | Desert Ear Nose and Throat Medical Group Inc | 39000 Bob Hope Dr, W301, Rancho Mirage, CA 92270-7036 |
| Jeffry J Brice | Qualified Audiologist | Desert Ear Nose and Throat Medical Group Inc | 39000 Bob Hope Dr, W301, Rancho Mirage, CA 92270-7036 |
| Lucian Ghioalda | Qualified Audiologist | Desert Ear Nose and Throat Medical Group Inc | 39000 Bob Hope Dr, W301, Rancho Mirage, CA 92270-7036 |
| Wade S Zarella | Qualified Audiologist | Desert Ear Nose and Throat Medical Group Inc | 39000 Bob Hope Dr, W301, Rancho Mirage, CA 92270-7036 |
| Melinda L Wright | Qualified Audiologist | Desert Ear Nose and Throat Medical Group Inc | 39000 Bob Hope Dr, W301, Rancho Mirage, CA 92270-7036 |
| Kari J Moeller | Nurse Practitioner | Desert Ear Nose and Throat Medical Group Inc | 39000 Bob Hope Dr, W301, Rancho Mirage, CA 92270-7036 |
| Andrea Tere Howland | Audiologist | Desert Ear Nose and Throat Medical Group Inc | 39000 Bob Hope Dr, W301, Rancho Mirage, CA 92270-7036 |
| Street Address |
39000 BOB HOPE DR W301 |
| City | RANCHO MIRAGE |
| State | CA |
| Zip | 92270-7036 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter James Sofia | Anesthesiology | Rancho Mirage Anesthesia Consultants Medical Group Inc | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 |
| Kristen M. Wellington | Anesthesiology | Rancho Mirage Anesthesia Consultants Medical Group Inc | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 |
| Leon A Feldman | Cardiac Electrophysiology | Eisenhower Medical Center | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 |
| Adam M Roberts | Hospitalist | Eisenhower Medical Center | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 |
| Nelson J Berkowitz | Anesthesiology | Rancho Mirage Anesthesia Consultants Medical Group Inc | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 |
| Dinesh N Patel | Diagnostic Radiology | Palm Desert Radiology Medical Group Inc | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 |
| David H Stoltzman | Family Medicine | 39000 Bob Hope Dr, Suite 409, Rancho Mirage, CA 92270-3221 | |
| Praveen Panguluri | Cardiovascular Disease (cardiology) | Eisenhower Medical Center | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 |
| Robin A Rawson | Pathology | Coachella Valley Pathology | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 |
| Mark C Genesen | Gynecological Oncology | Eisenhower Medical Center | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Ann Conrad | Nurse Practitioner | Rupinder Mann M D Inc | 72047 Pinah Shore Dr, Suite 4, Rancho Mirage, CA 92270 |
| Andrew Robert Rothstein | Podiatry | 69730 Hwy IIi, Suite 101, Rancho Mirage, CA 92270 | |
| Balaji Nettimi | Psychologist, Clinical | 45 -525 Rancho Mirage Ln B, Rancho Mirage, CA 92270 | |
| Rupinder Mann | Geriatric Medicine | Rupinder Mann M D Inc | 72047 Pinah Shore Dr, Suite 4, Rancho Mirage, CA 92270 |
| Priscilla A Slagle | Psychiatry | 24 Scarborough Way, Rancho Mirage, CA 92270-1624 | |
| Chun K Kim | Oral Surgery | 35900 Bob Hope Dr, Suite 110, Rancho Mirage, CA 92270-1700 | |
| Klaus Yi | Oral Surgery | 34530 Bob Hope Dr B, Rancho Mirage, CA 92270-1727 | |
| Kurt D Cao | Certified Registered Nurse Anesthetist (crna) | Mission Nursing Anesthesia, Inc. | 35800 Bob Hope Dr, Suite 100, Rancho Mirage, CA 92270-1739 |
| David P Schreiber | Radiation Oncology | 35800 Bob Hope Dr, Suite 215, Rancho Mirage, CA 92270-1739 | |
| Craig Marshall Johnson | Certified Registered Nurse Anesthetist (crna) | Mission Nursing Anesthesia, Inc. | 35800 Bob Hope Dr, Suite 100, Rancho Mirage, CA 92270-1739 |
| Find all physicians in zip 92270 | |||
| City | RANCHO MIRAGE |
| Zip Code | 92270 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | RANCHO MIRAGE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Mark E Dome.
| 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.