Andrea M Dominey (NPI# 1215023007, PAC ID# 5294825717) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1215023007 |
| PAC ID by PECOS | 5294825717 |
| Professional Enrollment ID | I20071220000080 |
| Full Name | Andrea M Dominey |
| Organization Legal Name | ADVANCED DERMATOLOGY AND SKIN SURGERY PLLC |
| Address |
1807 N Hutchinson Rd Spokane WA 99212-2444 |
| Phone Number | 5094567414 |
| Gender | F |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 3870480429 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1700 W Riverstone Dr, Coeur D Alene, ID 83814-5683 | 2087702822 | ADVANCED DERMATOLOGY AND SKIN SURGERY PLLC |
| 1807 N Hutchinson Rd, Spokane, WA 99212-2444 | 5094567414 | ADVANCED DERMATOLOGY AND SKIN SURGERY PLLC |
| Organization Legal Name | ADVANCED DERMATOLOGY AND SKIN SURGERY PLLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Albert C Reynaud | Dermatology | Advanced Dermatology and Skin Surgery Pllc | 1700 W Riverstone Dr, Coeur D Alene, ID 83814-5683 |
| Joel K Sears | Dermatology | Advanced Dermatology and Skin Surgery Pllc | 5905 N Mayfair St, Suite 200, Spokane, WA 99208-1127 |
| Staci M Hestdalen | Dermatology | Advanced Dermatology and Skin Surgery Pllc | 5905 N Mayfair St, Suite 200, Spokane, WA 99208-1127 |
| Amy Nicole Nelson | Physician Assistant | Advanced Dermatology and Skin Surgery Pllc | 5905 N Mayfair St, Suite 200, Spokane, WA 99208-1127 |
| Lark Greenwald Guss | Dermatology | Advanced Dermatology and Skin Surgery Pllc | 1807 N Hutchinson Rd, Spokane, WA 99212-2444 |
| Scott B Ahrndt | Physician Assistant | Advanced Dermatology and Skin Surgery Pllc | 5905 N Mayfair St, Suite 200, Spokane, WA 99208-1127 |
| Paul T Dunn | Dermatology | Advanced Dermatology and Skin Surgery Pllc | 5905 N Mayfair St, Suite 200, Spokane, WA 99208-1127 |
| Brenda Kay Wilks | Physician Assistant | Advanced Dermatology and Skin Surgery Pllc | 5905 N Mayfair St, Suite 200, Spokane, WA 99208-1127 |
| Chadd J Sukut | Dermatology | Advanced Dermatology and Skin Surgery Pllc | 5905 N Mayfair St, Suite 200, Spokane, WA 99208-1127 |
| Travis James | Dermatology | Advanced Dermatology and Skin Surgery Pllc | 1807 N Hutchinson Rd, Spokane, WA 99212-2444 |
| Street Address |
1807 N HUTCHINSON RD |
| City | SPOKANE |
| State | WA |
| Zip | 99212-2444 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lark Greenwald Guss | Dermatology | Advanced Dermatology and Skin Surgery Pllc | 1807 N Hutchinson Rd, Spokane, WA 99212-2444 |
| Travis James | Dermatology | Advanced Dermatology and Skin Surgery Pllc | 1807 N Hutchinson Rd, Spokane, WA 99212-2444 |
| Jeanne M Ellern | Physician Assistant | Advanced Dermatology and Skin Surgery Pllc | 1807 N Hutchinson Rd, Spokane, WA 99212-2444 |
| Kathleen R Lejameyer | Nurse Practitioner | Advanced Dermatology and Skin Surgery Pllc | 1807 N Hutchinson Rd, Spokane, WA 99212-2444 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julia A Salazar | Physical Therapy | 1510 N Argonne Rd, Suite F, Spokane Valley, WA 99212-2572 | |
| Dina Marie Shaughnessy | Nurse Practitioner | Ideal Option, Pllc | 8921 E Alki Ave, Suite 1, Spokane Valley, WA 99212-2705 |
| Richard C Doede | Chiropractic | E 8919 Broadway Ave, Spokane Valley, WA 99212-2719 | |
| Thomas C Zolezzi | Chiropractic | 920 N Argonne Rd, Suite 100, Spokane Valley, WA 99212-2722 | |
| Eric Adrian Start | Chiropractic | 720 N Argonne Rd, Suite F, Spokane Valley, WA 99212-2794 | |
| Brenda L Roberts | Clinical Social Worker | 505 N Argonne Rd, Suite B108, Spokane Valley, WA 99212-2870 | |
| Ebere Ugorji | Nurse Practitioner | 521 N Argonne Rd, Suite B101, Spokane Valley, WA 99212-2877 |
| City | SPOKANE |
| Zip Code | 99212 |
| Specialty | DERMATOLOGY |
| City + Specialty | SPOKANE + DERMATOLOGY |
Please comment or provide details below to improve the information on Andrea M Dominey.
| 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.