DR. MICHELE DOMENICK (NPI# 1720052400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720052400 |
| Entity Type | Individual |
| Full Name | DR. MICHELE DOMENICK |
| Credential | MD |
| Practice Address |
200 Banning St Suite 200 Dover DE 19904-3485 |
| Mailing Address |
200 Banning St Suite 310 Dover DE 19904-3485 |
| Practice Telephone | 3026740600 |
| Practice Fax Number | 3026727144 |
| Mailing Telephone | 3026740600 |
| Mailing Fax Number | 3026727144 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2013-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | C1-0006569 | DE | Other Service Providers |
| N | 207Q00000X | Family Medicine | C1-0006569 | DE | Allopathic & Osteopathic Physicians |
| Street Address |
200 BANNING ST SUITE 200 |
| City | DOVER |
| State | DE |
| Zip Code | 19904-3485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364190 | Donald D. Suh | Urology | 200 Banning St, Suite 250, Dover, DE 19904 | 2005-05-27 |
| 1750861779 | Jacob Wesley Roberts | Physician Assistant | 200 Banning St, Dover, DE 19904-3485 | 2018-08-20 |
| 1003307737 | Gabriella Lynn Malacari | Physician Assistant | 200 Banning St, Dover, DE 19904-3485 | 2018-05-29 |
| 1972010924 | First State Infectious Diseases, LLC | Internal Medicine | 200 Banning St, Suite 230, Dover, DE 19904-3487 | 2017-12-29 |
| 1700231867 | Amita Jain | Internal Medicine | 200 Banning St, Dover, DE 19904-3485 | 2016-04-26 |
| 1619338126 | Seiff Center for Aesthetic & Reconstructive Surgery Pa | Clinic/Center | 200 Banning St, Suite 370, Dover, DE 19904-3485 | 2016-03-10 |
| 1689033631 | Meghan Elizabeth Miller | Nurse Practitioner | 200 Banning St, Suite 320, Dover, DE 19904-3485 | 2016-02-18 |
| 1477950319 | Christina Sykes | Advanced Practice Midwife | 200 Banning St, Suite 320, Dover, DE 19904-3485 | 2014-11-20 |
| 1538573837 | The Vein Center At Eden Hill LLC | Surgery | 200 Banning St, Suite 300, Dover, DE 19904-3485 | 2014-06-13 |
| 1053724815 | Advanced Sleep Disorders Center LLC | Clinical Medical Laboratory | 200 Banning St, Suite 210, Dover, DE 19904-3487 | 2014-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534318 | Stanford Community Development Corporation, Inc | Community Health Worker | 111 South West Street, Suite 5, Dover, DE 19904 | 2020-10-02 |
| 1770145120 | Cara May O'reilly | Nurse Practitioner | 540 S. Governors Ave, Ste 101a, Dover, DE 19904 | 2019-07-07 |
| 1639631716 | Victoria Louise Sisson | Physical Therapy Assistant | 301 South Banning Street, Dover, DE 19904 | 2019-04-05 |
| 1336603091 | Ashley Santana | Counselor | 32 West Lookerman Street, Suite #103, Dover, DE 19904 | 2019-01-28 |
| 1679059869 | Vicdania Home Services | Technician | 1019 South Govenors Avenue, Dover, DE 19904 | 2018-07-11 |
| 1295221372 | Pam Squared At Dover LLC | Rehabilitation Hospital | 1240 Mckee Road, Dover, DE 19904 | 2018-07-02 |
| 1871000869 | Ronald Allen Beard | Counselor | 44 Carver Road, Dover, DE 19904 | 2017-12-29 |
| 1508376518 | First State Orthopaedics, Pa | Orthopaedic Surgery | 285 Beiser Blvd, Ste 201, Dover, DE 19904 | 2017-10-04 |
| 1700325057 | Center At Eden Hill LLC | Skilled Nursing Facility | 300 Banning Street, Dover, DE 19904 | 2017-02-20 |
| 1811352826 | West Dover Dental, LLC | Dentist | 2 Greentree Drive, Dover, DE 19904 | 2015-12-17 |
| Find all providers in zip 19904 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215381322 | Relieving Hands Massage & Bee Fit | Specialist | 119 S Wooster Ave, Dover, OH 44622-1944 | 2016-04-15 |
| 1184010514 | Doctors Exchange,inc | Specialist | 160 Greentree Dr, Suite 101, Dover, DE 19904-7620 | 2015-04-13 |
| 1295991164 | James Samson | Specialist | 340 Central Ave, Suite 303, Dover, NH 03820-3700 | 2008-07-31 |
| 1275709321 | Sleepcare Centers, Inc. | Specialist | 1110 Forrest Ave, Ste: 102, Dover, DE 19904-3309 | 2008-05-07 |
| 1881801009 | Orthopaedic and Reconstructive Surgeons of Southeastern Nh | Specialist | 780 Central Ave, Dover, NH 03820-3412 | 2007-05-17 |
| 1780705152 | John James Grimes | Specialist | 30 Centre St, Dover, MA 02030-2204 | 2007-04-03 |
| 1457404931 | Janice Rebecca Davis | Specialist | 3400 Holly Rd, Dover, PA 17315-4430 | 2007-01-19 |
| 1437211315 | Fady J Gerges | Specialist | 740s New St B, Dover, DE 19904-3571 | 2006-12-15 |
| 1659439537 | Joseph D. White Ear, Nose, Throat Medicine & Surgery PC | Specialist | 158 Nh Route 108, Suite B, Dover, NH 03820 | 2006-12-05 |
| 1942396304 | Calvin Thomas Wilson II | Specialist | 21 Saulsbury Rd, Dover, DE 19904-3444 | 2006-10-05 |
| Find all providers in DOVER | ||||
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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.