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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 36190 | GA | Allopathic & Osteopathic Physicians |
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 |
Street Address |
2121 FOUNTAIN DR STE A |
City | SNELLVILLE |
State | GA |
Zip Code | 30078-2900 |
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 |
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 Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
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. |
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 |
City | SNELLVILLE |
Zip Code | 30078 |
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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.