Domenic A Palagruto Ii (NPI# 1215936356, PAC ID# 5193709749) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1215936356 |
| PAC ID by PECOS | 5193709749 |
| Professional Enrollment ID | I20040614000540 |
| Full Name | Domenic A Palagruto Ii |
| Organization Legal Name | BOILING SPRING LAKES FAMILY MEDICINE PC |
| Address |
3599 George II Hwy Southport NC 28461-7793 |
| Phone Number | 9108453244 |
| Gender | M |
| Credential | DO |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6901868587 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 341327 | J ARTHUR DOSHER MEMORIAL HOSPITAL |
| 340158 | NOVANT HEALTH BRUNSWICK MEDICAL CENTER |
| 340141 | NEW HANOVER REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3599 George II Hwy, Southport, NC 28461-7793 | 9108453244 | BOILING SPRING LAKES FAMILY MEDICINE PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 71% |
| Organization Legal Name | BOILING SPRING LAKES FAMILY MEDICINE PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen E Wood | Family Medicine | Boiling Spring Lakes Family Medicine PC | 3599 George II Hwy, Southport, NC 28461-7793 |
| Street Address |
3599 GEORGE II HWY |
| City | SOUTHPORT |
| State | NC |
| Zip | 28461-7793 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen E Wood | Family Medicine | Boiling Spring Lakes Family Medicine PC | 3599 George II Hwy, Southport, NC 28461-7793 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lana Simmons | Nurse Practitioner | Novant Medical Group Inc | 2950 Pine Plantation Pkwy, Oak Island, NC 28461-0119 |
| Sara E Clagg | Nurse Practitioner | Novant Medical Group Inc | 2950 Pine Plantation Pkwy, Oak Island, NC 28461-0119 |
| Joyce Pilar Johnson | Family Medicine | Novant Medical Group Inc | 2950 Pine Plantation Pkwy, Oak Island, NC 28461-0119 |
| Scott Lionel Girard | Hospitalist | Novant Medical Group Inc | 2950 Pine Plantation Pkwy, Oak Island, NC 28461-0119 |
| Barton Schneyer | Pulmonary Disease | Southport Pulmonary Medicine Pllc | 1517 N Howe St, Suite 12, Southport, NC 28461-2608 |
| Cheryl N Owen | Nurse Practitioner | Southport Pulmonary Medicine Pllc | 1517 N Howe St, Suite 12, Southport, NC 28461-2608 |
| Melissa A Denman | Nurse Practitioner | Southport Pulmonary Medicine Pllc | 1517 N Howe St, Suite 12, Southport, NC 28461-2608 |
| Phillip David Khan | Plastic and Reconstructive Surgery | Novant Medical Group Inc | 1456 N Howe St, Suite 201, Southport, NC 28461-2672 |
| Matthew J Lucas | Nurse Practitioner | Novant Medical Group Inc | 1456 N Howe St, Suite 201, Southport, NC 28461-2672 |
| Ryan C Tighe | Family Medicine | Novant Medical Group Inc | 1456 N Howe St, Suite 201, Southport, NC 28461-2674 |
| Find all physicians in zip 28461 | |||
| City | SOUTHPORT |
| Zip Code | 28461 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SOUTHPORT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Domenic A Palagruto Ii.
| 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.