Nicole L Dominick (NPI# 1306351028, PAC ID# 8123388659) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1306351028 |
| PAC ID by PECOS | 8123388659 |
| Professional Enrollment ID | I20180201001198 |
| Full Name | Nicole L Dominick |
| Organization Legal Name | RENAL CONSULTANTS OF WYOMING VALLEY PC |
| Address |
1130 Hwy 315 Blvd Wilkes Barre PA 18702-6952 |
| Phone Number | 5708238896 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5890683718 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390137 | WILKES-BARRE GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1130 Hwy 315 Blvd, Wilkes Barre, PA 18702-6952 | 5708238896 | RENAL CONSULTANTS OF WYOMING VALLEY PC |
| Organization Legal Name | RENAL CONSULTANTS OF WYOMING VALLEY PC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanne Dreier | Nephrology | Renal Consultants of Wyoming Valley PC | 1130 Hwy 315 Blvd, Wilkes Barre, PA 18702-6952 |
| Kelly R Gensel | Nurse Practitioner | Renal Consultants of Wyoming Valley PC | 1130 Hwy 315 Blvd, Wilkes Barre, PA 18702-6952 |
| Joseph F Dreier | Nephrology | Renal Consultants of Wyoming Valley PC | 1130 Hwy 315 Blvd, Wilkes Barre, PA 18702-6952 |
| Jamie Lynn Konschnik | Nurse Practitioner | Renal Consultants of Wyoming Valley PC | 1130 Hwy 315 Blvd, Wilkes Barre, PA 18702-6952 |
| Alfonso I Rodriguez | Nephrology | Renal Consultants of Wyoming Valley PC | 1130 Hwy 315 Blvd, Wilkes Barre, PA 18702-6952 |
| Raymond Guido Joseph | Nephrology | Renal Consultants of Wyoming Valley PC | 1130 Hwy 315 Blvd, Wilkes Barre, PA 18702-6952 |
| Steven Steven Young | Nephrology | Renal Consultants of Wyoming Valley PC | 1130 Hwy 315 Blvd, Wilkes Barre, PA 18702-6952 |
| Street Address |
1130 HWY 315 BLVD |
| City | WILKES BARRE |
| State | PA |
| Zip | 18702-6952 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanne Dreier | Nephrology | Renal Consultants of Wyoming Valley PC | 1130 Hwy 315 Blvd, Wilkes Barre, PA 18702-6952 |
| Kelly R Gensel | Nurse Practitioner | Renal Consultants of Wyoming Valley PC | 1130 Hwy 315 Blvd, Wilkes Barre, PA 18702-6952 |
| Joseph F Dreier | Nephrology | Renal Consultants of Wyoming Valley PC | 1130 Hwy 315 Blvd, Wilkes Barre, PA 18702-6952 |
| Jamie Lynn Konschnik | Nurse Practitioner | Renal Consultants of Wyoming Valley PC | 1130 Hwy 315 Blvd, Wilkes Barre, PA 18702-6952 |
| Alfonso I Rodriguez | Nephrology | Renal Consultants of Wyoming Valley PC | 1130 Hwy 315 Blvd, Wilkes Barre, PA 18702-6952 |
| Raymond Guido Joseph | Nephrology | Renal Consultants of Wyoming Valley PC | 1130 Hwy 315 Blvd, Wilkes Barre, PA 18702-6952 |
| Steven Steven Young | Nephrology | Renal Consultants of Wyoming Valley PC | 1130 Hwy 315 Blvd, Wilkes Barre, PA 18702-6952 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Elizabeth J Sokach | Family Practice | Rural Health Corporation of Northeastern Pennsylvania | 1084 Route 315, Wilkes Barre, PA 18702-1606 |
| Raymond J Joseph | Internal Medicine | 165 Carey Ave, Wilkes Barre, PA 18702-2112 | |
| Sharon Miller | Physical Therapy | Northeast Physical Therapy, PC | 216 N River St, Suite 101, Wilkes Barre, PA 18702-2517 |
| Marianne Turosky | Physical Therapy | Northeast Physical Therapy, PC | 216 N River St, Suite 101, Wilkes Barre, PA 18702-2517 |
| Elizabeth A Gernhardt | Family Medicine | 300 Courtright St, Wilkes Barre, PA 18702-2526 | |
| Alexis H Felsman | Obstetrics/gynecology | Ob-gyn Associates, LLC | 545 N River St, Wilkes Barre, PA 18702-2600 |
| Jaromir Kohout | General Surgery | Commonwealth Physician Network LLC | 545 N River St, Suite 130, Wilkes Barre, PA 18702-2600 |
| Maria C Escano | General Surgery | Commonwealth Physician Network LLC | 545 N River St, Suite 130, Wilkes Barre, PA 18702-2600 |
| Lori Delgaudio | Obstetrics/gynecology | Ob-gyn Associates, LLC | 545 N River St, Wilkes Barre, PA 18702-2600 |
| Akram Zalatimo | Obstetrics/gynecology | 545 N River St, Suite 110, Wilkes Barre, PA 18702-2600 | |
| Find all physicians in zip 18702 | |||
| City | WILKES BARRE |
| Zip Code | 18702 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WILKES BARRE + NURSE PRACTITIONER |
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| 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.