CAL ANTHONY DOMINGUE


Address: 5000 Ambassador Caffery Pkwy Bldg 14a, Lafayette, LA 70508-6984
Phone: 3374703580

CAL ANTHONY DOMINGUE (NPI# 1437134707) 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) 1437134707
Entity Type Individual
Full Name CAL ANTHONY DOMINGUE
Credential PA
Practice Address 5000 Ambassador Caffery Pkwy Bldg 14a
Lafayette
LA 70508-6984
Mailing Address Po Box 54422
New Orleans
LA 70154-4422
Practice Telephone 3374703580
Practice Fax Number 3374703586
Mailing Telephone 3374703580
Mailing Fax Number 3374703586
Enumeration Date 2005-12-09
Last Update Date 2015-12-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
A10610 LA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA 1624861 05
LA RR MEDICARE P00220721 01

Other Providers CAL DOMINGUE

NPI Name Taxonomy Address Enumeration
1467588327 Cal J Domingue Marriage & Family Therapist 3896 24th St, San Francisco, CA 94114-3839 2007-02-26

Office Location

Street Address 5000 AMBASSADOR CAFFERY PKWY BLDG 14A
City LAFAYETTE
State LA
Zip Code 70508-6984

Providers in the same zip code

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1184250607 Learning Grove Therapy LLC Clinic/Center 105 Anaheim Lane, Lafayette, LA 70508 2020-03-16
1780218727 Jennifer Trumps Case Manager/Care Coordinator 200 Entergy Parkway, Lafayette, LA 70508 2020-02-28
1740749605 Hunter Sy Arceneaux Physical Therapist 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 2019-03-19
1295292787 Brad Michael Gros Counselor 160 South Beadle Road, Lafayette, LA 70508 2019-02-21
1205337581 Alternative Perspectives, LLC Clinic/Center 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 2018-02-22
1124528807 Zachariah James Hebert Counselor 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 2018-02-19
1164934477 Ilyas Munshi, Md Apmc Non-Pharmacy Dispensing Site 99 W. Martial Ave, Lafayette, LA 70508 2017-10-26
1447761226 Louisiana Orthopaedic Specialists, LLC Durable Medical Equipment & Medical Supplies 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 2017-10-19
1306365457 Mk Dixon Counseling and Consulting Counselor 105 Industrial Parkway, Lafayette, LA 70508 2017-09-10
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033737366 Wound Solutions Inc Physician Assistant 130 Old Laramie Trl Ste 100, Lafayette, CO 80026-7014 2020-07-13
1558685495 Douglas D Kesler Physician Assistant 1411 S Creasy Lane, Suite 120, Lafayette, IN 47905-7433 2010-03-22
1285895060 Jennifer Menard Piker Physician Assistant 605 Silverstone Road, Suite 100, Lafayette, LA 70508 2008-06-24
1013019108 Tabatha Alma Tomajko Physician Assistant 300 Exempla Circle, Suite 360, Bluestone Advanced Surgical Care, Lafayette, CO 80026 2006-09-01
1811997075 James R. Redmond Sr. Physician Assistant 601 W Saint Mary Blvd, Ste 308, Lafayette, LA 70506-3568 2005-07-28
1326694076 Nathan J Ambrose Physician Assistant 5000 Ambassador Caffery Pkwy Ste A, Lafayette, LA 70508-6984 2019-08-16
1720536618 Richard Davis Physician Assistant 5000 Ambassador Caffery Pkwy Ste A, Lafayette, LA 70508-6984 2016-09-20
1205218914 Amanda Murray Physician Assistant 3900 St Francis Way Ste 201, Lafayette, IN 47905-4923 2015-06-18
1245666254 Emily Renee Thibodaux Physician Assistant 1103 Kaliste Saloom Rd, Suite 206, Lafayette, LA 70508-5783 2013-09-23
1841626876 Ashley Victoria Duplantis Physician Assistant 105 Patriot St, Suite 101, Lafayette, LA 70508-6831 2013-09-23
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Competitor

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City LAFAYETTE
Zip Code 70508

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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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