DOMINIC A FORMARO JR. (NPI# 1740444058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740444058 |
| Entity Type | Individual |
| Full Name | DOMINIC A FORMARO JR. |
| Credential | D.O. |
| Practice Address |
300 N 4th Ave E Ste D Newton IA 50208-3155 |
| Mailing Address |
Po Box 1475 Des Moines IA 50305-1475 |
| Practice Telephone | 6417873161 |
| Practice Fax Number | 6417873165 |
| Mailing Telephone | 6417873161 |
| Mailing Fax Number | 6417873165 |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2017-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 3843 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
300 N 4TH AVE E STE D |
| City | NEWTON |
| State | IA |
| Zip Code | 50208-3155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205813805 | Thomas E Jessen | Family Medicine | 300 N 4th Ave E, Ste 140a, Newton, IA 50208-3155 | 2005-12-27 |
| 1699241240 | Cnr Development, LLC | Dermatology | 300 N 4th Ave E, Newton, IA 50208-3155 | 2018-10-22 |
| 1578910105 | Rita K Lee | Occupational Therapist | 300 N 4th Ave E, Ste G, Newton, IA 50208-3137 | 2016-05-24 |
| 1336501279 | Mercy Professional Practice Associates Inc | Internal Medicine | 300 N 4th Ave E, Suite C2, Newton, IA 50208-3155 | 2016-03-21 |
| 1538531405 | Nicole M Derry | Physical Therapist | 300 N 4th Ave E, Newton, IA 50208-3155 | 2015-10-30 |
| 1659751717 | Mercy Professional Practice Associates, Inc. | Surgery | 300 N 4th Ave E, Suite D, Newton, IA 50208-3155 | 2015-06-04 |
| 1871923649 | Nicole A Stines | Physical Therapist | 300 N 4th Ave E, Suite G, Newton, IA 50208-3155 | 2013-11-15 |
| 1528313517 | Angela L. Nelson | Physician Assistant | 300 N 4th Ave E, Ste 200, Newton, IA 50208-3155 | 2012-07-17 |
| 1629342662 | Rosa Stocker | Nurse Practitioner | 300 N 4th Ave E, Newton, IA 50208-3155 | 2012-03-07 |
| 1770758641 | Skiff Medical Center | Orthopaedic Surgery | 300 N 4th Ave E, Suite C, Newton, IA 50208-3155 | 2008-04-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124642905 | Jennifer Elaine Clodfelter | Pharmacist | 1201 1st Avenue East, Newton, IA 50208 | 2020-06-08 |
| 1578107041 | Benjamin Robert Lehl | Counselor | 1123 1st Ave E, #200, Hewton, IA 50208 | 2019-10-29 |
| 1154848273 | Grx Holdings, LLC | Pharmacy | 400 1st Ave. W, Newton, IA 50208 | 2017-08-29 |
| 1275995045 | Jasper County Health Department | Home Health | 115 N 2nd Avenue E, County Annex Building B-1, Newton, IA 50208 | 2016-03-22 |
| 1346608304 | Caitlyn Boldt | Speech-Language Pathologist | 200 South 8th Ave W, Newton, IA 50208 | 2016-02-05 |
| 1427431725 | Jennifer Kramer | Social Worker | 306 N 3rd Avenue E, Newton, IA 50208 | 2015-07-06 |
| 1669890976 | Newton Village, Inc. | Skilled Nursing Facility | 114 N 5th Ave, Newton, IA 50208 | 2014-04-03 |
| 1922120559 | Lonnie Dean Barton | Dentist | 727 W 11th St S, Newton, IA 50208 | 2007-04-04 |
| 1578690939 | Ambroson Apothecary LLC | Pharmacy | 212 1st Street North, Newton, IA 50208 | 2007-02-27 |
| 1659420214 | Roy Edgar Mount | Dentist | 600 E 17th St N, Suite A, Newton, IA 50208 | 2007-01-10 |
| Find all providers in zip 50208 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306107644 | Samuil D. Rafailov | Surgery | 183 High St Ste 1500, Newton, NJ 07860 | 2012-06-04 |
| 1104075837 | Skiff Medical Center | Surgery | 300 N 4th Ave E Ste D, Newton, IA 50208-3155 | 2008-09-18 |
| 1184831406 | Shomaf Nakhjo | Surgery | 183 High St Ste 1100, Newton, NJ 07860-9602 | 2007-05-17 |
| 1124162813 | Charles S Lipson | Surgery | 5 Malubar Ln, Newton, MA 02459-2919 | 2007-02-16 |
| 1386756070 | Charles Jacob Graber | Surgery | 215 S Pine, #303, Newton, KS 67114-3543 | 2006-08-31 |
| 1518963610 | James Kenneth Vernon | Surgery | 2000 Washington Street, Suite 365, Newton, MA 02462-1627 | 2005-06-23 |
| 1497222020 | Zlata Myshchuk | Surgery | 2014 Washington St, Newton, MA 02462-1607 | 2018-11-01 |
| 1881041192 | Shomaf Nakhjo, D.o. LLC | Surgery | 222 High St, Suite 201, Newton, NJ 07860-9604 | 2016-05-17 |
| 1659751717 | Mercy Professional Practice Associates, Inc. | Surgery | 300 N 4th Ave E, Suite D, Newton, IA 50208-3155 | 2015-06-04 |
| 1760892293 | John Wendell Wiens | Surgery | 209 S Pine St, Newton, KS 67114-3745 | 2014-05-06 |
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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.