David E Dominguez


Address: 141 Coconut Dr, Indialantic, FL 32903-2607

David E Dominguez (NPI# 1467694521, PAC ID# 9537339056) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.

Physician Overview

Nation Provider ID (NPI) 1467694521
PAC ID by PECOS 9537339056
Professional Enrollment ID I20110818000866
Full Name David E Dominguez
Address 141 Coconut Dr
Indialantic
FL 32903-2607
Gender M
Medical School DUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2006
Primary Specialty ORTHOPEDIC SURGERY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100316 PALM BAY HOSPITAL
100019 HOLMES REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
141 Coconut Dr, Indialantic, FL 32903-2607

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 141 COCONUT DR
City INDIALANTIC
State FL
Zip 32903-2607

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Competitor

Search similar physicians

City INDIALANTIC
Zip Code 32903
Specialty ORTHOPEDIC SURGERY
City + Specialty INDIALANTIC + ORTHOPEDIC SURGERY

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Dataset Information

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.

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