DR. JUAN C DOMINGUEZ (NPI# 1023036001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023036001 |
| Entity Type | Individual |
| Full Name | DR. JUAN C DOMINGUEZ |
| Credential | MD |
| Practice Address |
5210 North Belt Hwy Saint Joseph MO 64506-1211 |
| Practice Telephone | 8162714995 |
| Practice Fax Number | 8162714915 |
| Mailing Telephone | 8162714995 |
| Mailing Fax Number | 8162714915 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2017-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 118268 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BLUE CROSS/BLUE SHIELD KS | 403973 | 01 |
| MO | AETNA | 2180287 | 01 |
| MO | COMMUNITY HEALTH PLAN | 10001381300 | 01 |
| MO | CLIA | 26D0896653 | 01 |
| MO | 246807846 | 05 | |
| KS | 100381150A | 05 | |
| MO | BLUE CROSS/BLUE SHIELD KC | 25683028 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568949998 | Juan Carlos Dominguez | Licensed Vocational Nurse | 12430 Paseo Blanco Dr, El Paso, TX 79928-5681 | 2018-07-27 |
| Street Address |
5210 NORTH BELT HWY |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64506-1211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235161605 | Davin G Turner | Family Medicine | 5210 North Belt Hwy, Saint Joseph, MO 64506-1211 | 2006-07-07 |
| 1760400832 | Alan W. Brewer | Family Medicine | 5210 North Belt Hwy, Saint Joseph, MO 64506-1211 | 2006-07-17 |
| 1700804788 | Shawn P. Griffin | Family Medicine | 5210 North Belt Hwy, Saint Joseph, MO 64506-1211 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484250 | Americare At Field Pointe LLC | Assisted Living Facility | 5002 Gene Field Road, St Joseph, MO 64506 | 2020-10-15 |
| 1669086609 | Phuc Vo | Pharmacist | 4022 N Belt Hyw, Saint Joseph, MO 64506 | 2020-09-08 |
| 1104450675 | Hughes Acupuncture LLC | Acupuncturist | 1918 North Belt Highway, St Joseph, MO 64506 | 2020-02-24 |
| 1306323316 | Camilla Allison Walling | Nurse Practitioner | 1009 West St. Maartens Drive Suite F, Saint Joseph, MO 64506 | 2018-07-23 |
| 1326559964 | Amber Wheatley Wood | Counselor | 724 N. 22nd Street, Saint Joseph, MO 64506 | 2017-10-23 |
| 1366952988 | Annette Burris | Audiologist | 2401 North Woodbine, St. Joseph, MO 64506 | 2017-10-10 |
| 1962927665 | Genuine Senior Care LLC | In Home Supportive Care | 3715 Beck Road, Suite 207b, St. Joseph, MO 64506 | 2017-08-03 |
| 1215396569 | Andrew M Fisher | Counselor | 2400 Frederick Blvd, Suite 407, Saint Joseph, MO 64506 | 2016-02-15 |
| 1699133678 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3320 North Belt Highway, St Joseph, MO 64506 | 2016-02-04 |
| 1598167587 | Quality Hearing and Audiology Center LLC | Audiologist | 2227 North Belt Highway, St. Joseph, MO 64506 | 2014-09-22 |
| Find all providers in zip 64506 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770032708 | Robert Church | Family Medicine | 2402 S State St, Saint Joseph, MI 49085-1914 | 2016-10-03 |
| 1861646168 | Northwest Health Services, Inc. | Family Medicine | 503 S 6th St, Saint Joseph, MO 64501-2224 | 2008-11-13 |
| 1710186671 | Corinne M Ridens | Family Medicine | 105 Far West Dr., Ste. 100, Saint Joseph, MO 64506-3514 | 2007-07-12 |
| 1720283633 | James Driscoll Gendernalik | Family Medicine | 2500 Niles Rd Ste 1, 2nd Floor, Saint Joseph, MI 49085-3225 | 2007-06-19 |
| 1194847830 | Merlin D Brown Md PC | Family Medicine | 6503 N Us Highway 71, Saint Joseph, MO 64506-1048 | 2007-04-04 |
| 1437291671 | Aref Zaman | Family Medicine | 1515 Saint Joseph Ave, Saint Joseph, MO 64505-2631 | 2007-02-13 |
| 1609920891 | Beth L Booker | Family Medicine | 3921 Sherman Ave, Saint Joseph, MO 64506-3649 | 2007-01-23 |
| 1881786085 | Genesis Family Health Center, Plc | Family Medicine | 3916 Stonegate Park, Saint Joseph, MI 49085-9144 | 2006-09-28 |
| 1427151695 | David Cathcart | Family Medicine | 401 Illinois, Saint Joseph, MO 64504 | 2006-09-06 |
| 1396753422 | Randy S. Buckles, Do, Family Health Care, LLC | Family Medicine | 220 South Woodbine Rd, Saint Joseph, MO 64506 | 2006-08-04 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 64506 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.