STEPHANIE JEAN DOMINGUEZ


Address: 2906 S 20th St, Milwaukee, WI 53215-3732
Phone: 4146721353

STEPHANIE JEAN DOMINGUEZ (NPI# 1750683371) 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) 1750683371
Entity Type Individual
Full Name STEPHANIE JEAN DOMINGUEZ
Other Name STEPHANIE JEAN REINFELDT
Credential PA-C
Practice Address 2906 S 20th St
Milwaukee
WI 53215-3732
Practice Telephone 4146721353
Practice Fax Number 4146724265
Mailing Telephone 4146721353
Mailing Fax Number 4146724265
Enumeration Date 2010-12-02
Last Update Date 2010-12-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
2696-23 WI Physician Assistants & Advanced Practice Nursing Providers

Other Providers STEPHANIE DOMINGUEZ

NPI Name Taxonomy Address Enumeration
1336746817 Stephanie Dominguez Pharmacist 3801 Biscayne Blvd, Miami, FL 33137-9800 2020-10-07
1225551559 Stephanie Dominguez Community/Behavioral Health 5500 University Pkwy, San Bernardino, CA 92407-2318 2017-07-18

Office Location

Street Address 2906 S 20TH ST
City MILWAUKEE
State WI
Zip Code 53215-3732

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144225871 Emilia Isabel Arana Pediatrics 2906 S 20th St, Milwaukee, WI 53215-3732 2005-06-17
1558976910 Angela M Aviles-soto Registered Nurse 2906 S 20th St, Milwaukee, WI 53215-3732 2020-09-12
1376161471 Ivonne Rosado Nurse Practitioner 2906 S 20th St, Milwaukee, WI 53215-3732 2020-07-06
1609426956 Aja Nicole Aviles-soto Advanced Practice Midwife 2906 S 20th St, Milwaukee, WI 53215-3732 2019-09-18
1720640329 Sharais Alvarado Counselor 2906 S 20th St, Milwaukee, WI 53215-3732 2019-07-03
1164994497 Margaret E Gonzalez Social Worker 2906 S 20th St, Milwaukee, WI 53215-3732 2018-12-27
1790276517 Esmeralda Robelo Campos Physician Assistant 2906 S 20th St, Milwaukee, WI 53215-3732 2018-05-29
1982194700 Diane Colette Kothera Dental Hygienist 2906 S 20th St, Milwaukee, WI 53215-3732 2018-05-16
1225549066 Patricia Dequardo Dental Hygienist 2906 S 20th St, Milwaukee, WI 53215-3732 2017-10-19
1144742750 Anna M Guerrero Nurse Practitioner 2906 S 20th St, Milwaukee, WI 53215-3732 2017-07-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841829918 Joshua Michael Brooks Student in an Organized Health Care Education/Training Program Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 2020-04-02
1053967091 Kristina Strupp Clinical Nurse Specialist 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 2019-08-15
1427510296 Madelyn Pickle Student in an Organized Health Care Education/Training Program 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 2019-04-02
1932601838 Elizabeth D Morawski Nurse Practitioner 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 2018-03-06
1457872673 Canzata Kimberly Dent Counselor 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 2017-06-28
1538689955 Christian Pena Durable Medical Equipment & Medical Supplies 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 2017-06-27
1386178804 Dane A Olsen Family Medicine 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 2017-04-12
1811443492 Thomas Diamond Physical Therapist 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 2016-09-01
1487055133 Sam Khalili Otolaryngology 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 2014-09-12
1992105621 Nicole R Hall Nurse Practitioner 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 2014-08-29
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093348542 Christopher Sean Lanctin Physician Assistant 557 N 17th St Apt 310, Milwaukee, WI 53233-2128 2020-02-12
1962056432 Lyndsey Marie Bratberg Physician Assistant F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 2019-08-01
1194956417 Jessica Dawn Hagen Physician Assistant 5330 W. Villard Avenue, Milwaukee, WI 53218 2009-08-04
1245335868 Mary Laan Physician Assistant 8901 N. 76th Street, Milwaukee, WI 53223 2006-09-14
1326081316 Therese Ann Johnson Physician Assistant 3267 S 16th Street, Ems Office, Milwaukee, WI 53215 2006-06-14
1386686905 Irum Ziauddin Physician Assistant 3201 S 16th St Ste 2015, Milwaukee, WI 53215-4532 2006-06-11
1528054897 Nicole Meyer Papermaster Physician Assistant 342 N Water St Ste 600, Milwaukee, WI 53202-5715 2005-09-22
1285232793 Trina Kessel Physician Assistant 5000 W National Ave, Milwaukee, WI 53295-0001 2020-10-16
1124641113 Emily Rose Johnson Physician Assistant 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 2020-05-25
1487273561 Savannah Mathe Physician Assistant 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-04-09
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Competitor

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City MILWAUKEE
Zip Code 53215

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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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