Guy Arnold Domm (NPI# 1104243427, PAC ID# 9931320975) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1104243427 |
| PAC ID by PECOS | 9931320975 |
| Professional Enrollment ID | I20180619002754 |
| Full Name | Guy Arnold Domm |
| Organization Legal Name | REGIONAL HEALTH NETWORK INC |
| Address |
61 Charles St Deadwood SD 57732-1303 |
| Phone Number | 6055782313 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5991616427 |
| Number of Group Practice Members | 154 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 431321 | REGIONAL HEALTH STURGIS HOSPITAL |
| 430048 | REGIONAL HEALTH SPEARFISH HOSPITAL |
| 430077 | REGIONAL HEALTH RAPID CITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 61 Charles St, Deadwood, SD 57732-1303 | 6055782313 | REGIONAL HEALTH NETWORK INC |
| 949 Harmon St, Sturgis, SD 57785-2452 | 6057202407 | REGIONAL HEALTH NETWORK INC |
| Organization Legal Name | REGIONAL HEALTH NETWORK INC |
| Physicians | 155 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas M Czosnyka | General Surgery | Regional Health Network Inc | 1445 N Ave, Spearfish, SD 57783-1552 |
| Scott M Sorenson | Orthopedic Surgery | Regional Health Network Inc | 2479 E Colorado Blvd, Spearfish, SD 57783-3204 |
| Karen Marie Jefcoat | Physician Assistant | Regional Health Network Inc | 1121 Washington Ave, Newcastle Regional Medical Clinic, Newcastle, WY 82701-2968 |
| Monaleze Saini | Family Medicine | Regional Health Network Inc | 1220 Montgomery St, Custer, SD 57730-1705 |
| Katy Caffee | Nurse Practitioner | Regional Health Network Inc | 2140 Junction Ave, Sturgis, SD 57785-2358 |
| Drew Moss | Family Medicine | Regional Health Network Inc | 1420 N 10th St, Spearfish, SD 57783-1532 |
| Brandyn Tarap | Family Medicine | Regional Health Network Inc | 1041 Montgomery St, Custer, SD 57730-1304 |
| Sarah L Fitzsimmons | Physician Assistant | Regional Health Network Inc | 949 Harmon St, Spearfish Regional Hosptial, Sturgis, SD 57785-2452 |
| Susan A Matthew | Nurse Practitioner | Regional Health Network Inc | 550 E Colorado Blvd, Spearfish, SD 57783-2776 |
| John M Palmer | Endocrinology | Regional Health Network Inc | 71 Charles St, Deadwood, SD 57732-1303 |
| Street Address |
61 CHARLES ST |
| City | DEADWOOD |
| State | SD |
| Zip | 57732-1303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi L Johnson | Certified Registered Nurse Anesthetist (crna) | Regional Health Network Inc | 61 Charles St, Deadwood, SD 57732-1303 |
| Mackenzi K Gatzke | Physician Assistant | Regional Health Network Inc | 61 Charles St, Deadwood, SD 57732-1303 |
| Bonnie Omdahl | Diagnostic Radiology | Regional Health Network Inc | 61 Charles St, Deadwood, SD 57732-1303 |
| Anna M Lukens-black | Certified Registered Nurse Anesthetist (crna) | Regional Health Network Inc | 61 Charles St, Deadwood, SD 57732-1303 |
| Nadia L Tymkowych | Family Medicine | Regional Health Network Inc | 61 Charles St, Deadwood, SD 57732-1303 |
| David E Strang | Emergency Medicine | Regional Health Network Inc | 61 Charles St, Deadwood, SD 57732-1303 |
| Thomas J Groeger | Family Medicine | Regional Health Network Inc | 61 Charles St, Deadwood, SD 57732-1303 |
| Erin M Engel Fauske | Certified Registered Nurse Anesthetist (crna) | Regional Health Network Inc | 61 Charles St, Deadwood, SD 57732-1303 |
| J D Geigle | Certified Registered Nurse Anesthetist | Regional Health Network Inc | 61 Charles St, Deadwood, SD 57732-1303 |
| Jodi L Bartell | Certified Registered Nurse Anesthetist | Regional Health Network Inc | 61 Charles St, Deadwood, SD 57732-1303 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Czerny | Optometry | Deadwood Eye Care LLC | 88 Charles St, Deadwood, SD 57732-1303 |
| John M Palmer | Endocrinology | Regional Health Network Inc | 71 Charles St, Deadwood, SD 57732-1303 |
| Mark J Ptacek | Family Medicine | Regional Health Network Inc | 71 Charles St, Deadwood, SD 57732-1303 |
| Elizabeth J Sayler | Internal Medicine | Regional Health Network Inc | 71 Charles St, Deadwood, SD 57732-1303 |
| James J Holloway | Internal Medicine | Regional Health Network Inc | 71 Charles St, Deadwood, SD 57732-1303 |
| Jonathan Paul Nebelsick | Optometry | Deadwood Eye Care LLC | 88 Charles St, Deadwood, SD 57732-1303 |
| June M Reiling | Nurse Practitioner | Regional Health Network Inc | 71 Charles St, Deadwood, SD 57732-1303 |
| Carolyn K Stansberry | Podiatry | Regional Health Network Inc | 71 Charles St, Deadwood, SD 57732-1303 |
| Michael Guilbert | Optometry | Deadwood Eye Care LLC | 88 Charles St, Deadwood, SD 57732-1303 |
| City | DEADWOOD |
| Zip Code | 57732 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DEADWOOD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Guy Arnold Domm.
| 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.