Aaron Domm (NPI# 1760527576, PAC ID# 8224016829) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1760527576 |
| PAC ID by PECOS | 8224016829 |
| Professional Enrollment ID | I20070723000907 |
| Full Name | Aaron Domm |
| Organization Legal Name | PPCP SPECIALTY PHYSICIANS LLC |
| Address |
7 S Alliance Dr Suite 202a Goose Creek SC 29445-7269 |
| Phone Number | 8433760670 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF OHIO |
| Graduation Year | 2000 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 2466723028 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420079 | TRIDENT MEDICAL CENTER |
| 420087 | ROPER HOSPITAL |
| 420065 | BON SECOURS-ST FRANCIS XAVIER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7 S Alliance Dr, Suite 202a, Goose Creek, SC 29445-7269 | 8433760670 | PPCP SPECIALTY PHYSICIANS LLC |
| Organization Legal Name | PPCP SPECIALTY PHYSICIANS LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amelia Hill | Nurse Practitioner | Ppcp Specialty Physicians LLC | 1101 Old Trolley Rd, Suite 300, Summerville, SC 29485-5294 |
| Celeste Julayne Curnick | Nurse Practitioner | Ppcp Specialty Physicians LLC | 7 S Alliance Dr, Suite 202a, Goose Creek, SC 29445-7269 |
| Mathew W Bogart | Nurse Practitioner | Ppcp Specialty Physicians LLC | 1101 Old Trolley Rd, Suite 300, Summerville, SC 29485-5294 |
| Allison C Bossong | Physician Assistant | Ppcp Specialty Physicians LLC | 7 S Alliance Dr, Suite 202a, Goose Creek, SC 29445-7269 |
| Chad A Thomas | Physician Assistant | Ppcp Specialty Physicians LLC | 7 S Alliance Dr, Suite 202a, Goose Creek, SC 29445-7269 |
| John H Lucas | Neurology | Ppcp Specialty Physicians LLC | 9313 Medical Plaza Dr, Suite 310, Charleston, SC 29406-9197 |
| Robert M Carlile | Neurology | Ppcp Specialty Physicians LLC | 9313 Medical Plaza Dr, Suite 310, Charleston, SC 29406-9197 |
| Joseph Mathews | Internal Medicine | Ppcp Specialty Physicians LLC | 1101 Old Trolley Rd, Suite 300, Summerville, SC 29485-5294 |
| Marc Dean New | Gastroenterology | Ppcp Specialty Physicians LLC | 7 S Alliance Dr, Suite 202a, Goose Creek, SC 29445-7269 |
| Street Address |
7 S ALLIANCE DR SUITE 202A |
| City | GOOSE CREEK |
| State | SC |
| Zip | 29445-7269 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Phillips | Nurse Practitioner | Palmetto Primary Care Physicians | 7 S Alliance Dr, Suite 211b, Goose Creek, SC 29445-7269 |
| Celeste Julayne Curnick | Nurse Practitioner | Ppcp Specialty Physicians LLC | 7 S Alliance Dr, Suite 202a, Goose Creek, SC 29445-7269 |
| Ashely Taylor Wilson | Nurse Practitioner | Palmetto Primary Care Physicians | 7 S Alliance Dr, Suite 211b, Goose Creek, SC 29445-7269 |
| Allison C Bossong | Physician Assistant | Ppcp Specialty Physicians LLC | 7 S Alliance Dr, Suite 202a, Goose Creek, SC 29445-7269 |
| Chad A Thomas | Physician Assistant | Ppcp Specialty Physicians LLC | 7 S Alliance Dr, Suite 202a, Goose Creek, SC 29445-7269 |
| Jennifer K Swiler | Nurse Practitioner | Palmetto Primary Care Physicians | 7 S Alliance Dr, Goose Creek, SC 29445-7269 |
| John D Sutterlin | Family Medicine | Palmetto Primary Care Physicians | 7 S Alliance Dr, Goose Creek, SC 29445-7269 |
| Marc Dean New | Gastroenterology | Ppcp Specialty Physicians LLC | 7 S Alliance Dr, Suite 202a, Goose Creek, SC 29445-7269 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rhonda A Parker | Nurse Practitioner | 107 Etting Ave, Goose Creek, SC 29445 | |
| Karen King | Optometry | 216 F St James Ave, Goose Creek, SC 29445 | |
| Katherine James Kegel | Optometry | Coastal Vision Care LLC | 605 St James Ave, Goose Creek, SC 29445 |
| Erica Ryan Juras | Optometry | Coastal Vision Care LLC | 605 St James Ave, Goose Creek, SC 29445 |
| Wendy Lynn Corrigan | Optometry | Coastal Vision Care LLC | 605 St James Ave, Goose Creek, SC 29445 |
| Kelsey Alexandra Mutchler | Physical Therapy | Agilitas Usa Inc | 514 Saint James Ave, Unit G, Goose Creek, SC 29445-2767 |
| Harry Brown Dinwiddie Jr. | Physical Therapy | Agilitas Usa Inc | 514 Saint James Ave, Unit G, Goose Creek, SC 29445-2767 |
| Kevin Donald Smith | Physical Therapy | Agilitas Usa Inc | 514 Saint James Ave, Unit G, Goose Creek, SC 29445-2767 |
| Adam Jay Foster | Chiropractic | 514 Saint James Ave, Unit D, Goose Creek, SC 29445-2767 | |
| Stephen Aaron Purser | Family Medicine | Charleston Carenow Urgent Care LLC | 515 Saint James Ave, Goose Creek, SC 29445-2794 |
| Find all physicians in zip 29445 | |||
| City | GOOSE CREEK |
| Zip Code | 29445 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | GOOSE CREEK + GASTROENTEROLOGY |
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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.