DR. LISA R DOMAGALSKI (NPI# 1295782787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295782787 |
| Entity Type | Individual |
| Full Name | DR. LISA R DOMAGALSKI |
| Credential | MD |
| Practice Address |
333 School Street Suite 205 Pawtucket RI 02860 |
| Mailing Address |
333 School Street Suite 200 Pawtucket RI 02860 |
| Practice Telephone | 4017240600 |
| Practice Fax Number | 4017248306 |
| Mailing Telephone | 4017240600 |
| Mailing Fax Number | 4017248306 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD8389 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 7004719 | 05 |
| Street Address |
333 SCHOOL STREET SUITE 205 |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518914084 | Karen J Iannucci | Nurse Practitioner | 333 School Street, Suite 200, Pawtucket, RI 02860 | 2006-05-28 |
| 1124101340 | Blackstone Cardiology Associates | Internal Medicine | 333 School Street, Ste 112, Pawtucket, RI 02860-5336 | 2006-10-23 |
| 1033212170 | Plastic & Reconstructive Surgery Inc | Surgery | 333 School Street, Suite 305, Pawtucket, RI 02860 | 2006-09-06 |
| 1366555336 | Charles F Johnson | Plastic Surgery | 333 School Street, Suite 305, Pawtucket, RI 02860 | 2006-08-16 |
| 1972529832 | David S Pomerantz | Dermatology | 333 School Street, Suite #216, Pawtucket, RI 02860 | 2006-07-14 |
| 1942225610 | Neil E Toback | Dermatology | 333 School Street, Ste 216, Pawtucket, RI 02860 | 2006-07-13 |
| 1497780993 | David S. Pomerantz Md Inc | Dermatology | 333 School Street, Suite 216, Pawtucket, RI 02860 | 2006-07-12 |
| 1679504286 | Tawfik F Hawwa | Obstetrics & Gynecology | 333 School Street, Suite 200, Pawtucket, RI 02860 | 2006-07-05 |
| 1245261759 | Lynda C Clancy | Nurse Practitioner | 333 School Street, Suite 200, Pawtucket, RI 02860 | 2006-07-05 |
| 1982644878 | Nabil Y Khoury | Obstetrics & Gynecology | 333 School Street, Suite 205, Pawtucket, RI 02860 | 2006-06-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972096923 | Lmb Medical LLC | Internal Medicine | 127 School St, Pawtucket, RI 02860 | 2018-06-13 |
| 1215420435 | Tyla Jackson | Behavior Technician | 70 Wood St Apt 22, Pawtucket, RI 02860 | 2018-06-12 |
| 1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
| 1730690488 | Anthony Edwin Ramicone | Physician Assistant | 407 East Ave Ste 120, Pawtucket, RI 02860 | 2017-10-21 |
| 1669991352 | Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC | Clinic/Center | 407 East Ave; Suite 110, Pawtucket, RI 02860 | 2017-09-13 |
| 1841716230 | Ri Alternative Academy Management, LLC | Local Education Agency (LEA) | 249 Roosevelt Avenue, Pawtucket, RI 02860 | 2017-08-17 |
| 1396265724 | Hannah R Stoops | Family Medicine | 111 Brewster St Fcc A, Pawtucket, RI 02860 | 2017-06-27 |
| 1427578400 | Shaun Michael Flynn | Family Medicine | 111 Brewster St, Fcc A, Pawtucket, RI 02860 | 2017-06-21 |
| 1073051843 | Laura Jane Amaral | Counselor | 750 East Ave Unit 1e, Pawtucket, RI 02860 | 2017-02-01 |
| 1063862027 | Stephanie Shoppell | Counselor | 105 Bacon Street, Pawtucket, RI 02860 | 2016-06-20 |
| Find all providers in zip 02860 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699058826 | Southern New England Healthcare for Women, LLC | Obstetrics & Gynecology | 333 School St., Suite 200, Pawtucket, RI 02860 | 2011-09-23 |
| 1083633242 | Carroll A Medeiros | Obstetrics & Gynecology | 333 School St Ste 205, Pawtucket, RI 02860-5336 | 2006-07-19 |
| 1588648356 | John R. Morton | Obstetrics & Gynecology | 174 Armistice Blvd, Pawtucket, RI 02860-3210 | 2005-12-05 |
| 1740560812 | Jose D Eugenio-colon | Obstetrics & Gynecology | 407 East Ave, Suite 150, Pawtucket, RI 02860-5290 | 2011-08-22 |
| 1295975423 | Jeffrey Jackson Hunter | Obstetrics & Gynecology | 21 Division St, Pawtucket, RI 02860-5352 | 2009-02-27 |
| 1679742332 | Megan Mcmahon | Obstetrics & Gynecology | 333 School St, Suite 205, Pawtucket, RI 02860-5334 | 2008-02-27 |
| 1558551986 | Stacey Peckham Lievense | Obstetrics & Gynecology | 333 School St, Suite 200, Pawtucket, RI 02860-5334 | 2007-08-01 |
| 1588722805 | Edward U Choi Md Inc | Obstetrics & Gynecology | 126 Prospect St, Pawtucket, RI 02860-4429 | 2006-12-06 |
| 1518976281 | Jeannine Connolly | Obstetrics & Gynecology | 333 School St, Suite 205, Pawtucket, RI 02860-5334 | 2006-08-05 |
| 1376565531 | Pablo Rodriguez | Obstetrics & Gynecology | 407 East Ave, Suite 150, Pawtucket, RI 02860-5299 | 2006-07-24 |
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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.