Christopher Mark Domingue (NPI# 1073571824, PAC ID# 6002717857) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1073571824 |
| PAC ID by PECOS | 6002717857 |
| Professional Enrollment ID | I20040115000794 |
| Full Name | Christopher Mark Domingue |
| Address |
706 Ross St Oak Grove LA 71263-9798 |
| Phone Number | 3184284964 |
| Gender | M |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 1991 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190081 | WEST CARROLL MEMORIAL HOSPITAL |
| 190125 | ST FRANCIS MEDICAL CENTER |
| 190116 | MOREHOUSE GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 706 Ross St, Oak Grove, LA 71263-9798 | 3184284964 | |
| 706 Ross St, Oak Grove, LA 71263-9798 | 3184283237 | WEST CARROLL HEALTH SYSTEMS LLC |
| Street Address |
706 ROSS ST |
| City | OAK GROVE |
| State | LA |
| Zip | 71263-9798 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fakhre Fakhre | Internal Medicine | 706 Ross St, West Carroll Health Systems LLC, Oak Grove, LA 71263-9798 | |
| Cheryl A Smith | Family Medicine | West Carroll Health Systems LLC | 706 Ross St, Oak Grove, LA 71263-9798 |
| Stephanie Joy Sadick | Pediatric Medicine | 706 Ross St, Oak Grove, LA 71263-9798 | |
| Thomas St Clair Williams | Family Medicine | 706 Ross St, Oak Grove, LA 71263-9798 | |
| Abiodun Kuku | Emergency Medicine | 706 Ross St, Oak Grove, LA 71263-9798 | |
| George Fakhre | Internal Medicine | 706 Ross St, Oak Grove, LA 71263-9798 | |
| Noli C Guinigundo | Family Medicine | 706 Ross St, Oak Grove, LA 71263-9798 | |
| Ayfarah M. Frangieh | Pediatric Medicine | 706 Ross St, Oak Grove, LA 71263-9798 | |
| Sireesha Palkamsetti | Pediatric Medicine | West Carroll Health Systems LLC | 706 Ross St, Oak Grove, LA 71263-9798 |
| City | OAK GROVE |
| Zip Code | 71263 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | OAK GROVE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Christopher Mark Domingue.
| 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.