Jason R Dominguez (NPI# 1861608424, PAC ID# 9234185711) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1861608424 |
PAC ID by PECOS | 9234185711 |
Professional Enrollment ID | I20050328000956 |
Full Name | Jason R Dominguez |
Organization Legal Name | CHAPPELL ROSSO DERMATOLOGY PA |
Address |
4040 Medical Park Dr Odessa TX 79765-2233 |
Phone Number | 4323336603 |
Gender | M |
Credential | PA |
Graduation Year | 2004 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 5597881581 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
4040 Medical Park Dr, Odessa, TX 79765-2233 | 4323336603 | CHAPPELL ROSSO DERMATOLOGY PA |
Organization Legal Name | CHAPPELL ROSSO DERMATOLOGY PA |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Robert L Chappell Jr. | Dermatology | Chappell Rosso Dermatology Pa | 4040 Medical Park Dr, Odessa, TX 79765-2233 |
Ritchie Rosso | Dermatology | Chappell Rosso Dermatology Pa | 4040 Medical Park Dr, Odessa, TX 79765-2233 |
Nathan A Rosso | Physician Assistant | Chappell Rosso Dermatology Pa | 4040 Medical Park Dr, Odessa, TX 79765-2233 |
Street Address |
4040 MEDICAL PARK DR |
City | ODESSA |
State | TX |
Zip | 79765-2233 |
Name | Specialty | Organization | Address |
---|---|---|---|
Robert L Chappell Jr. | Dermatology | Chappell Rosso Dermatology Pa | 4040 Medical Park Dr, Odessa, TX 79765-2233 |
Ritchie Rosso | Dermatology | Chappell Rosso Dermatology Pa | 4040 Medical Park Dr, Odessa, TX 79765-2233 |
Nathan A Rosso | Physician Assistant | Chappell Rosso Dermatology Pa | 4040 Medical Park Dr, Odessa, TX 79765-2233 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amanda L Paradeaux | Nurse Practitioner | Permian Premier Health Services Inc | 980 E 87th St D, Steward Medical Group of Texas, Odessa, TX 79765-1318 |
Kris L Howard | Dermatology | Kris L Howard Md Pa | 8141 Dorado Dr, Odessa, TX 79765-8533 |
Nicole Leann Connelly | Physician Assistant | Kris L Howard Md Pa | 8141 Dorado Dr, Odessa, TX 79765-8533 |
Sam Eun Kim | Internal Medicine | Mch Professional Care | 8050 E Hwy 191, Suite 200, Odessa, TX 79765-8607 |
David Davison | Family Medicine | Mch Professional Care | 8050 E Hwy 191, Suite 200, Odessa, TX 79765-8607 |
Santiago Giraldo | Internal Medicine | Mch Professional Care | 8050 E Hwy 191, Suite 200, Odessa, TX 79765-8607 |
Getnet Aberra | Family Medicine | Mch Professional Care | 8050 E Hwy 191, Suite 200, Odessa, TX 79765-8607 |
Stephanie Alexandra Kubacak | Internal Medicine | Mch Professional Care | 8050 E Hwy 191, Suite 200, Odessa, TX 79765-8607 |
Augusto Sepulveda | Internal Medicine | Mch Professional Care | 8050 E Hwy 191, Odessa, TX 79765-8607 |
Daniel Ohearn | Internal Medicine | Mch Professional Care | 8050 E Hwy 191, Odessa, TX 79765-8607 |
Find all physicians in zip 79765 |
City | ODESSA |
Zip Code | 79765 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | ODESSA + PHYSICIAN ASSISTANT |
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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.