Jeremy Peter Domanski (NPI# 1083691356, PAC ID# 5597920553) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1083691356 |
| PAC ID by PECOS | 5597920553 |
| Professional Enrollment ID | I20160630001479 |
| Full Name | Jeremy Peter Domanski |
| Organization Legal Name | TIDEWATER GASTROENTEROLOGY, PLLC |
| Address |
112 Gainsborough Sq Suite 200 Chesapeake VA 23320-1706 |
| Phone Number | 7575470798 |
| Gender | M |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 2005 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 4284682899 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490120 | CHESAPEAKE REGIONAL MEDICAL CENTER |
| 490011 | BON SECOURS DEPAUL MEDICAL CENTER |
| 490046 | SENTARA LEIGH HOSPITAL |
| 490017 | BON SECOURS MARYVIEW MEDICAL CENTER |
| 490007 | SENTARA NORFOLK GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 112 Gainsborough Sq, Suite 200, Chesapeake, VA 23320-1706 | 7575470798 | TIDEWATER GASTROENTEROLOGY, PLLC |
| 5701 Cleveland St, Suite 100, Virginia Beach, VA 23462-1788 | 7575470798 | TIDEWATER GASTROENTEROLOGY, PLLC |
| Organization Legal Name | TIDEWATER GASTROENTEROLOGY, PLLC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Dandalides | Gastroenterology | Tidewater Gastroenterology, Pllc | 5701 Cleveland St, Suite 100, Virginia Beach, VA 23462-1788 |
| Alan Gamsey | Gastroenterology | Tidewater Gastroenterology, Pllc | 112 Gainsborough Sq, Suite 200, Chesapeake, VA 23320-1706 |
| Felix Tiongco | Gastroenterology | Tidewater Gastroenterology, Pllc | 112 Gainsborough Sq, Suite 200, Chesapeake, VA 23320-1706 |
| Elisa M Carter | Physician Assistant | Tidewater Gastroenterology, Pllc | 112 Gainsborough Sq, Suite 200, Chesapeake, VA 23320-1706 |
| Cynthia A Gardiner | Certified Registered Nurse Anesthetist (crna) | Tidewater Gastroenterology, Pllc | 112 Gainsborough Sq, Suite 200, Chesapeake, VA 23320-1706 |
| Rene Rivera | Gastroenterology | Tidewater Gastroenterology, Pllc | 112 Gainsborough Sq, Suite 200, Chesapeake, VA 23320-1706 |
| Jennifer Lyn Thompson | Certified Registered Nurse Anesthetist (crna) | Tidewater Gastroenterology, Pllc | 112 Gainsborough Sq, Suite 200, Chesapeake, VA 23320-1706 |
| Victoria Marade Goode | Certified Registered Nurse Anesthetist (crna) | Tidewater Gastroenterology, Pllc | 112 Gainsborough Sq, Suite 200, Chesapeake, VA 23320-1706 |
| Walid Makdisi | Gastroenterology | Tidewater Gastroenterology, Pllc | 112 Gainsborough Sq, Suite 200, Chesapeake, VA 23320-1706 |
| Elizabeth J Grant | Certified Registered Nurse Anesthetist (crna) | Tidewater Gastroenterology, Pllc | 112 Gainsborough Sq, Suite 200, Chesapeake, VA 23320-1706 |
| Street Address |
112 GAINSBOROUGH SQ SUITE 200 |
| City | CHESAPEAKE |
| State | VA |
| Zip | 23320-1706 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan Gamsey | Gastroenterology | Tidewater Gastroenterology, Pllc | 112 Gainsborough Sq, Suite 200, Chesapeake, VA 23320-1706 |
| Felix Tiongco | Gastroenterology | Tidewater Gastroenterology, Pllc | 112 Gainsborough Sq, Suite 200, Chesapeake, VA 23320-1706 |
| Elisa M Carter | Physician Assistant | Tidewater Gastroenterology, Pllc | 112 Gainsborough Sq, Suite 200, Chesapeake, VA 23320-1706 |
| Cynthia A Gardiner | Certified Registered Nurse Anesthetist (crna) | Tidewater Gastroenterology, Pllc | 112 Gainsborough Sq, Suite 200, Chesapeake, VA 23320-1706 |
| Rene Rivera | Gastroenterology | Tidewater Gastroenterology, Pllc | 112 Gainsborough Sq, Suite 200, Chesapeake, VA 23320-1706 |
| Jennifer Lyn Thompson | Certified Registered Nurse Anesthetist (crna) | Tidewater Gastroenterology, Pllc | 112 Gainsborough Sq, Suite 200, Chesapeake, VA 23320-1706 |
| Victoria Marade Goode | Certified Registered Nurse Anesthetist (crna) | Tidewater Gastroenterology, Pllc | 112 Gainsborough Sq, Suite 200, Chesapeake, VA 23320-1706 |
| Walid Makdisi | Gastroenterology | Tidewater Gastroenterology, Pllc | 112 Gainsborough Sq, Suite 200, Chesapeake, VA 23320-1706 |
| Elizabeth J Grant | Certified Registered Nurse Anesthetist (crna) | Tidewater Gastroenterology, Pllc | 112 Gainsborough Sq, Suite 200, Chesapeake, VA 23320-1706 |
| Winifred D Bragg | Physical Medicine and Rehabilitation | 112 Gainsborough Sq, Suite 100, Chesapeake, VA 23320-1706 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Khadijah Y Jordan | Obstetrics/gynecology | 111 Medical Pkwy, Suite 202, Chesapeake, VA 23320-0303 | |
| Krishna Brahma Sastry Topalli | Physical Medicine and Rehabilitation | 676 Battlefield Blvd, Suite B, Chesapeake, VA 23320-0306 | |
| Christopher C Fusco | Optometry | 812 Eden Way N, Chesapeake, VA 23320-0602 | |
| William L Mulligan | Psychologist, Clinical | William L Mulligan Phd PC | 1403 Greenbrier Pkwy, Suite 215, Chesapeake, VA 23320-0608 |
| Hannah Whitney Jones | Psychologist, Clinical | William L Mulligan Phd PC | 1403 Greenbrier Pkwy, Suite 215, Chesapeake, VA 23320-0608 |
| Brittany Lynn Montes | Psychologist, Clinical | William L Mulligan Phd PC | 1403 Greenbrier Pkwy, Suite 215, Chesapeake, VA 23320-0608 |
| Samantha L Zbur | Psychologist, Clinical | William L Mulligan Phd PC | 1403 Greenbrier Pkwy, Suite 215, Chesapeake, VA 23320-0608 |
| Cara Zuccarelli Eggers | Psychiatry | William L Mulligan Phd PC | 1403 Greenbrier Pkwy, Suite 215, Chesapeake, VA 23320-0608 |
| Bogdan Grynyk | Optometry | Myeyedr Optometry of Virginia, Pllc | 1401 Greenbrier Pkwy, Suite 1150, Chesapeake, VA 23320-0695 |
| Beth Winke | Interventional Pain Management | Winke Orthopedic Pain Management Center | 808 Eden Way N, Suite 102, Chesapeake, VA 23320-0745 |
| Find all physicians in zip 23320 | |||
| City | CHESAPEAKE |
| Zip Code | 23320 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | CHESAPEAKE + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Jeremy Peter Domanski.
| 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.