Thomas Domanick (NPI# 1629012661, PAC ID# 4284756685) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1629012661 |
| PAC ID by PECOS | 4284756685 |
| Professional Enrollment ID | I20110413000146 |
| Full Name | Thomas Domanick |
| Organization Legal Name | ST. VINCENT'S MULTISPECIALTY GROUP |
| Address |
2595 Main St Stratford CT 06615-5812 |
| Phone Number | 2033860366 |
| Gender | M |
| Medical School | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 6204977218 |
| Number of Group Practice Members | 198 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070028 | ST. VINCENT'S MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2595 Main St, Stratford, CT 06615-5812 | 2033860366 | ST. VINCENT'S MULTISPECIALTY GROUP |
| Organization Legal Name | ST. VINCENT'S MULTISPECIALTY GROUP |
| Physicians | 167 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Audrey Lorraine Harrell | Psychiatry | St. Vincent's Multispecialty Group | 47 Long Lots Rd, Westport, CT 06880-3828 |
| Danielle C Rivera | Nurse Practitioner | St. Vincent's Multispecialty Group | 2979 Main St, Bridgeport, CT 06606-4284 |
| Imran Siddiqui | General Surgery | St. Vincent's Multispecialty Group | 2660 Main St, Suite 110, Bridgeport, CT 06606-5300 |
| Elizabeth Bergman | Clinical Social Worker | St. Vincent's Multispecialty Group | 2595 Main St, Stratford, CT 06615-5812 |
| Antonela Barbu | Family Medicine | St. Vincent's Multispecialty Group | 2238 Black Rock Tpke, Fairfield, CT 06825-3219 |
| Andre L Newfield | Psychiatry | St. Vincent's Multispecialty Group | 1 Lois St, Norwalk, CT 06851-4404 |
| Anna Wisniewski-zyskowski | Psychiatry | St. Vincent's Multispecialty Group | 2400 Main St, Bridgeport, CT 06606-5323 |
| Stephanie Katherine Gohlsch | Physician Assistant | St. Vincent's Multispecialty Group | 2800 Main St, Bridgeport, CT 06606-4201 |
| Fereshteh Ahmadian | Internal Medicine | St. Vincent's Multispecialty Group | 2800 Main St, Bridgeport, CT 06606-4201 |
| Gabriel Arimoro | Psychiatry | St. Vincent's Multispecialty Group | 2800 Main St, Bridgeport, CT 06606-4201 |
| Street Address |
2595 MAIN ST |
| City | STRATFORD |
| State | CT |
| Zip | 06615-5812 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Bergman | Clinical Social Worker | St. Vincent's Multispecialty Group | 2595 Main St, Stratford, CT 06615-5812 |
| Manu C Shekher | Emergency Medicine | St. Vincent's Multispecialty Group | 2595 Main St, Stratford, CT 06615-5812 |
| Christopher Orelup | Emergency Medicine | St. Vincent's Multispecialty Group | 2595 Main St, Stratford, CT 06615-5812 |
| Gary Blick | Infectious Disease | Health Care Advocates International, LLC | 2595 Main St, Stratford, CT 06615-5855 |
| Elysia Cerreta | Nurse Practitioner | Health Care Advocates International, LLC | 2595 Main St, Stratford, CT 06615-5855 |
| Anthy Demestihas | General Surgery | St. Vincent's Multispecialty Group | 2595 Main St, Stratford, CT 06615-5812 |
| Lea Alberghini | Nurse Practitioner | St. Vincent's Multispecialty Group | 2595 Main St, Stratford, CT 06615-5812 |
| Jeffrey L Gross | Neurology | St. Vincent's Multispecialty Group | 2595 Main St, Stratford, CT 06615-5812 |
| Richard A Manzi | Emergency Medicine | St. Vincent's Multispecialty Group | 2595 Main St, Stratford, CT 06615-5812 |
| Venkata Manchala | Internal Medicine | St Vincents Multispecialty Group, Inc | 2595 Main St, Stratford, CT 06615-5812 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn S Mitra | Nurse Practitioner | St Vincents Multispecialty Group, Inc | 2595 Main St, Stratford, CT 06615-5812 |
| Reuven Rudich | Ophthalmology | St Vincents Multispecialty Group, Inc | 2595 Main St, Stratford, CT 06615-5812 |
| Robyn S. Goldman | Clinical Psychologist | St Vincents Multispecialty Group, Inc | 2595 Main St, Stratford, CT 06615-5812 |
| Nayra A Luis | Physician Assistant | St Vincents Multispecialty Group, Inc | 2595 Main St, Stratford, CT 06615-5812 |
| Jessica A Mauro | Nurse Practitioner | St Vincents Multispecialty Group, Inc | 2595 Main St, Stratford, CT 06615-5812 |
| Jennifer M Lockshier | Clinical Social Worker | 2505 Main St, Suite 204a, Stratford, CT 06615-5813 | |
| Robert J Hurley | Clinical Social Worker | 2505 Main St, Suite 208, Stratford, CT 06615-5813 | |
| Carol V Fenton | Clinical Social Worker | 2505 Main St, Suite 208, Stratford, CT 06615-5813 | |
| Sandra J Nute-aupi | Physician Assistant | Obstetrics and Gynecology of Fairfield County LLC | 1220 Linden Ave, Stratford, CT 06615-5835 |
| Lisa B Webb | Physical Medicine and Rehabilitation | Neurological Specialist PC | 2590 Main St, Fl 2, Stratford, CT 06615-5838 |
| Find all physicians in zip 06615 | |||
| City | STRATFORD |
| Zip Code | 06615 |
| Specialty | PODIATRY |
| City + Specialty | STRATFORD + PODIATRY |
Please comment or provide details below to improve the information on Thomas Domanick.
| 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.