Erica Lee Domogauer (NPI# 1679036925, PAC ID# 2365785417) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1679036925 |
| PAC ID by PECOS | 2365785417 |
| Professional Enrollment ID | I20190514000511 |
| Full Name | Erica Lee Domogauer |
| Organization Legal Name | STRAND PHYSICIAN SPECIALISTS PA |
| Address |
3361 Hwy 9 E Little River SC 29566-7826 |
| Phone Number | 8434975929 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1153226576 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420105 | MCLEOD LORIS HOSPITAL |
| 420085 | GRAND STRAND REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3361 Hwy 9 E, Little River, SC 29566-7826 | 8434975929 | STRAND PHYSICIAN SPECIALISTS PA |
| 4591 Socastee Blvd, Myrtle Beach, SC 29588-7209 | 8434975929 | STRAND PHYSICIAN SPECIALISTS PA |
| 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 8434975929 | STRAND PHYSICIAN SPECIALISTS PA |
| Organization Legal Name | STRAND PHYSICIAN SPECIALISTS PA |
| Physicians | 46 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory Lee Becker | Pulmonary Disease | Strand Physician Specialists Pa | 906 Medical Cir, Myrtle Beach, SC 29572-4114 |
| Kristen Blackburn Carr | Family Medicine | Strand Physician Specialists Pa | 4591 Socastee Blvd, Myrtle Beach, SC 29588-7209 |
| Saria Rose Almo | Physician Assistant | Strand Physician Specialists Pa | 3361 Hwy 9 E, Little River, SC 29566-7826 |
| Debby T Desalvo | Nephrology | Strand Physician Specialists Pa | 901 Medical Cir, Myrtle Beach, SC 29572-4116 |
| Jocelyn A Myers | Endocrinology | Strand Physician Specialists Pa | 945 82nd Pkwy, Myrtle Beach, SC 29572-4612 |
| Michael Carr | Physician Assistant | Strand Physician Specialists Pa | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Corey Alan Heichel | Physician Assistant | Strand Physician Specialists Pa | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Ruth Wieland | Internal Medicine | Strand Physician Specialists Pa | 3361 Hwy 9 E, Little River, SC 29566-7826 |
| Thaddeus W Golden | Pulmonary Disease | Strand Physician Specialists Pa | 906 Medical Cir, Myrtle Beach, SC 29572-4114 |
| David Lazar | Rheumatology | Strand Physician Specialists Pa | 945 82nd Pkwy, Myrtle Beach, SC 29572-4612 |
| Street Address |
3361 HWY 9 E |
| City | LITTLE RIVER |
| State | SC |
| Zip | 29566-7826 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Saria Rose Almo | Physician Assistant | Strand Physician Specialists Pa | 3361 Hwy 9 E, Little River, SC 29566-7826 |
| Ruth Wieland | Internal Medicine | Strand Physician Specialists Pa | 3361 Hwy 9 E, Little River, SC 29566-7826 |
| Mary Jane Mason | Family Medicine | Strand Physician Specialists Pa | 3361 Hwy 9 E, Little River, SC 29566-7826 |
| Scott Alan Hollingsworth | Internal Medicine | Strand Physician Specialists Pa | 3361 Hwy 9 E, Little River, SC 29566-7826 |
| April L Blue | Family Medicine | Strand Physician Specialists Pa | 3361 Hwy 9 E, Little River, SC 29566-7826 |
| Lisa Elaine Mount | Internal Medicine | Strand Physician Specialists Pa | 3361 Hwy 9 E, Little River, SC 29566-7826 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry J Kopelman | Physical Therapy | David L. Haught, Pa | 304 Hwy 90 E C1, Little River, SC 29566 |
| David Laif Haught | Physical Therapy | David L. Haught, Pa | 304 Hwy 90 E C1, Little River, SC 29566 |
| Carla N Antolak | Physical Therapy | Greenville Proaxis Therapy LLC | 4237 River Hills Dr, Suite 110, Little River, SC 29566-6444 |
| Genevieve Badaoui | Physical Therapy | Greenville Proaxis Therapy LLC | 4237 River Hills Dr, Suite 110, Little River, SC 29566-6444 |
| Denise Charnea Lovorn | Physical Therapy | Greenville Proaxis Therapy LLC | 4237 River Hills Dr, Suite 110, Little River, SC 29566-6444 |
| Jennifer Elayne Bruer-vandeweert | Physical Therapy | Greenville Proaxis Therapy LLC | 4237 River Hills Dr, Suite 110, Little River, SC 29566-6444 |
| Garrett Fitzgibbons | Physical Therapy | Greenville Proaxis Therapy LLC | 4237 River Hills Dr, Suite 120, Little River, SC 29566-6444 |
| William J Earley | Family Practice | Elite Pain Management LLC | 4237 River Hills Dr, Little River, SC 29566-6444 |
| Matthew Davis | Physical Therapy | Greenville Proaxis Therapy LLC | 4237 River Hills Dr, Suite 120, Little River, SC 29566-6444 |
| Heather Vincent | Physician Assistant | Waterway Primary Care LLC | 4237 River Hills Dr, Suite 150, Little River, SC 29566-6446 |
| Find all physicians in zip 29566 | |||
| City | LITTLE RIVER |
| Zip Code | 29566 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LITTLE RIVER + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Erica Lee Domogauer.
| 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.