JOSE LUIS DOMINGUEZ


Address: 2121 Fountain Dr Ste A, Snellville, GA 30078-2900
Phone: 7707363008

JOSE LUIS DOMINGUEZ (NPI# 1295835775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295835775
Entity Type Individual
Full Name JOSE LUIS DOMINGUEZ
Credential MD
Practice Address 2121 Fountain Dr Ste A
Snellville
GA 30078-2900
Mailing Address 4517 Lavista Rd
Tucker
GA 30084-4208
Practice Telephone 7707363008
Mailing Telephone 7707231226
Enumeration Date 2006-09-24
Last Update Date 2019-04-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 36190 GA Allopathic & Osteopathic Physicians

Other Providers JOSE DOMINGUEZ

NPI Name Taxonomy Address Enumeration
1871554774 Jose Carlos Dominguez Jr. Allergy & Immunology 3645 Madaca Ln, Tampa, FL 33618-2048 2006-03-30
1629614862 Jose A Dominguez Counselor 22 Old Canal Dr, Lowell, MA 01851-2730 2019-11-22
1316503733 Jose Dominguez Behavior Technician 6770 N West Ave Ste 105, Fresno, CA 93711-1399 2019-05-10
1770010431 Jose Fernando Dominguez Student in an Organized Health Care Education/Training Program 100 Woods Rd, Valhalla, NY 10595-1530 2017-05-12
1235424573 Jose Dominguez Behavioral Analyst 3691 Nw 124th Ave, Coral Springs, FL 33065-2409 2011-06-15
1609173764 Jose Ramon Dominguez Counselor 5965 S 900 E, Salt Lake City, UT 84121-1720 2011-02-24
1992838304 Jose Dumergue Dominguez Dentist 3 Sw 129th Ave, Suite 210, Pembroke Pines, FL 33027-1775 2007-03-14
1861583312 Jose A Dominguez Physical Therapist 6375 Mercury Drive, Suite 100, Mechanicsburg, PA 17050 2006-09-28
1023046653 Jose C Dominguez Sr. Specialist 4600 N Habana Ave, Ste. 20, Tampa, FL 33614-7166 2006-06-30
1295773927 Jose M Dominguez Surgery 1001 E Primrose St, Springfield, MO 65807-5155 2006-06-03

Office Location

Street Address 2121 FOUNTAIN DR STE A
City SNELLVILLE
State GA
Zip Code 30078-2900

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154887925 Premier Primary Care, LLC Internal Medicine 2121 Fountain Dr Ste A, Snellville, GA 30078-2900 2019-02-15
1073933867 Georgia Clinical Research, LLC Clinic/Center 2121 Fountain Dr Ste A, Snellville, GA 30078-2900 2014-04-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619594561 Steven Nguyen Optometrist 1905 Scenic Hwy S #1130, Snellville, GA 30078 2020-06-26
1891320776 Youstina Harkas Optometrist 1679 Scenic Hwy S 203, Snellville, GA 30078 2020-03-11
1578101127 Jwwt Neuoromonitoring, LLC Psychiatry & Neurology 1350 Scenic Highway, Suite 266, Snelville, GA 30078 2019-12-13
1679119903 Lashon Poole Wells Social Worker 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 2019-11-21
1427601426 Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC Registered Nurse 1350 Scenic Highway Suite #266, Sneville, GA 30078 2019-07-18
1063975548 Joanne Mcdougal Patterson Nurse Practitioner 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 2019-04-10
1689144263 Israel Branford Physical Therapist 1575 Scenic Hwy Ste 100, Snellville, GA 30078 2018-11-27
1902382997 Brittany Dupree Dermatology 2383 Pate Street North, Snellville, GA 30078 2018-07-13
1134610926 Reid Weston Popple Dentist 2992 Stone Mountain Hwy, A100, Snellville, GA 30078 2018-05-29
1326550492 Optimal Healthcare Services LLC Clinic/Center 2121 Fountain Dr Ste F, Snellville, GA 30078 2017-10-30
Find all providers in zip 30078

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790238871 Renew Health Medical Center Internal Medicine 1550 Janmar Rd Ste B, Snellville, GA 30078-5779 2016-07-26
1285079723 Angel B Morales-santiago Internal Medicine 1600 Medical Way Ste 270, Snellville, GA 30078-2209 2013-05-09
1144490756 Fine & Associates Internal Medicine Specialists, P.C. Internal Medicine 1561 Janmar Rd Ste E, Snellville, GA 30078-5693 2008-03-11
1780730796 Gary D Vogin Internal Medicine 2240 Fountain Drive, Kaiser Permanente Snellville Medical Center, Snellville, GA 30078 2007-01-25
1730233859 Nolan Maddox Lassiter Sr. Internal Medicine 2176 Oak Rd Sw, Suite B, Snellville, GA 30078 2007-01-23
1295806495 Shahid Rafique Internal Medicine 2356 Lenora Church Rd, Snellville, GA 30078-3233 2006-11-11
1013021369 Sheryl C De La Motta-murray Internal Medicine 3555 Centerville Hwy, Ste 100, Snellville, GA 30039-6456 2006-08-17
1346288735 Jithendranath Palacherla Internal Medicine 1567 Janmar Road, Suite 100, Snellville, GA 30078 2006-06-04
1578502902 Ramanjaneyulu Dronavalli Internal Medicine 2138 Scenic Hwy N, Suite A, Snellville, GA 30078-6106 2006-06-04
1740235092 Gerald Paige Adler Internal Medicine 1700 Tree Lane St 450, Snellville, GA 30078 2006-05-24
Find all providers in SNELLVILLE

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City SNELLVILLE
Zip Code 30078

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Dataset Information

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.

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