DR. ANTHONY JOSEPH DOMENIGONI (NPI# 1124137187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124137187 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY JOSEPH DOMENIGONI |
| Credential | D.P.M. |
| Practice Address |
203 Se Park Plaza Dr Vancouver WA 98684-5886 |
| Mailing Address |
15023 Se Pebble Beach Dr Happy Valley OR 97086-7330 |
| Practice Telephone | 3604497040 |
| Mailing Telephone | 5036982869 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO00000777 | WA | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
DP00353 | OR | Podiatric Medicine & Surgery Service Providers |
| Street Address |
203 SE PARK PLAZA DR |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98684-5886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437262094 | Sande Bartels Irwin | Otolaryngology | 203 Se Park Plaza Dr, Suite 140, Vancouver, WA 98684-5886 | 2006-08-17 |
| 1588116438 | Kaiser Foundation Health Plan of The Northwest | General Practice | 203 Se Park Plaza Dr, Suite 140, Vancouver, WA 98684-5886 | 2016-10-26 |
| 1740636364 | Stephanie Mara Wichmann | Social Worker | 203 Se Park Plaza Dr, Suite 105, Vancouver, WA 98684-5886 | 2016-05-12 |
| 1740526706 | In Touch Counseling Services | Marriage & Family Therapist | 203 Se Park Plaza Dr, Suite 105, Vancouver, WA 98684-5886 | 2012-12-19 |
| 1285985705 | Mary Elizabeth Jones-wilcox | Counselor | 203 Se Park Plaza Dr, Suite 105, Vancouver, WA 98684-5886 | 2012-09-24 |
| 1699048272 | Diane V Stadler | Counselor | 203 Se Park Plaza Dr, Suite 105, Vancouver, WA 98684-5886 | 2012-02-13 |
| 1679866933 | The Devlopment Center | Counselor | 203 Se Park Plaza Dr, Suite#105, Vancouver, WA 98684-5886 | 2011-05-19 |
| 1326366394 | Kristal Mathis | Marriage & Family Therapist | 203 Se Park Plaza Dr, Vancouver, WA 98684-5886 | 2010-05-14 |
| 1841441417 | Kaiser Foundation Health Plan of The Northwest | Clinic/Center | 203 Se Park Plaza Dr, Suite 140, Vancouver, WA 98684-5886 | 2008-10-01 |
| 1780867309 | Gabriele M Smith | Counselor | 203 Se Park Plaza Dr, Suite 105, Vancouver, WA 98684-5886 | 2007-12-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
| 1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
| 1992226062 | Judith Moreno-castro | Massage Therapist | 2501 Ne 138th Ave., #60, Vancouver, WA 98684 | 2017-06-29 |
| 1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
| 1912353178 | Cheryl A. Hamilton-jefferson | Counselor | 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 | 2016-05-06 |
| 1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
| 1700254257 | Desiree Haggart | Registered Nurse | 406 Se 131st St., Suite A101, Vancouver, WA 98684 | 2015-09-14 |
| 1215318068 | Paige M. King | Behavioral Analyst | 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 | 2015-06-17 |
| 1417354366 | Amanda Hilkey, Lmp | Massage Therapist | 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 | 2014-11-20 |
| Find all providers in zip 98684 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508182460 | Ankle and Foot Physicians and Surgeons Pllc | Podiatrist | 601 Se 117th Ave Ste 240, Vancouver, WA 98683-5297 | 2010-04-15 |
| 1467806984 | Tyler Belnap | Podiatrist | 16701 Se Mcgillivray Blvd Ste 220, Vancouver, WA 98683-3462 | 2016-04-21 |
| 1962883579 | Cindy Lin | Podiatrist | 601 Se 117th Ave Ste 240, Vancouver, WA 98683-5297 | 2015-06-10 |
| 1770976474 | Cynthia Luu | Podiatrist | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2015-03-05 |
| 1518385285 | Anthony Maiolino | Podiatrist | 203 Se Park Plaza Dr Ste 140, Vancouver, WA 98684-5887 | 2014-03-31 |
| 1952612384 | Kelsey Barrick | Podiatrist | 601 Se 117th Ave Ste 240, Vancouver, WA 98683-5297 | 2010-06-30 |
| 1215909452 | Christopher D Lotufo | Podiatrist | 501 Se 172nd Ave, Ste 140, Vancouver, WA 98684-9542 | 2006-02-02 |
| 1801894050 | Christopher John Lamy | Podiatrist | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598392599 | Northern Cascades Foot and Ankle, LLC | Podiatrist | 532 E. Woodin Ave, Chelan, WA 98816-1852 | 2020-03-27 |
| 1801433784 | South Hill Foot & Ankle Clinic Ps | Podiatrist | 3707 S Grand Blvd Ste A, Spokane, WA 99203-2762 | 2019-12-10 |
| 1679025902 | Fasa Family Wellness, Pllc | Podiatrist | 2964 Limited Ln Nw, Suite B, Olympia, WA 98502-4577 | 2016-11-03 |
| 1356899363 | Emily Wagler | Podiatrist | 34509 9th Ave S Ste 303, Federal Way, WA 98003-8709 | 2016-09-19 |
| 1821546540 | Ata Podiatric and Integrative Medicine, Pllc | Podiatrist | 1950 Alaskan Way, Apt 526, Seattle, WA 98101-1075 | 2016-09-12 |
| 1376998179 | Hyowon Choi | Podiatrist | 2075 Barkley Blvd Ste 220, Bellingham, WA 98226 | 2016-04-28 |
| 1407210479 | Philip Matthew Woods | Podiatrist | 1812 N 13th Loop Rd # 1, Shelton, WA 98584-2169 | 2016-04-06 |
| 1063897916 | Yan Rong Cullen | Podiatrist | 13030 121st Way Ne Ste 204, Kirkland, WA 98034-3008 | 2015-07-21 |
| 1972982023 | Brittany Lynn Logan | Podiatrist | 10049 Kitsap Mall Blvd Nw Ste 109, Silverdale, WA 98383-8901 | 2015-05-21 |
| 1093194425 | Silas Klaver | Podiatrist | 1607 Creekside Loop Ste 140, Yakima, WA 98902 | 2015-05-18 |
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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.