DOMAIN SURGICAL, LLC (NPI# 1780167866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780167866 |
| Entity Type | Organization |
| Organization Name | DOMAIN SURGICAL, LLC |
| Practice Address |
2300 Wolflin Ave Amarillo TX 79109-1832 |
| Mailing Address |
2455 I 40 W Amarillo TX 79109-1852 |
| Practice Telephone | 8063505437 |
| Practice Fax Number | 8063505438 |
| Mailing Telephone | 8063505437 |
| Mailing Fax Number | 8063505438 |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2018-09-13 |
| Authorized Official Name | MS. ANGELA KATHLEEN HESS (GENERAL DIRECTOR) |
| Authorized Official Telephone | 8066705318 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
2300 WOLFLIN AVE |
| City | AMARILLO |
| State | TX |
| Zip Code | 79109-1832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003455098 | Pamela Dawn George | Counselor | 3807 S. Virginia, Amarillo, TX 79109 | 2019-12-23 |
| 1083251318 | Raeann Mask | Massage Therapist | 3501 W. 45th St, Suite T, Amarillo, TX 79109 | 2019-12-05 |
| 1962044941 | Donna Raef Kizziar | Nurse Practitioner | Bsa Urgent Care Clinic, 4510 Bell St., Amarillo, TX 79109 | 2019-10-11 |
| 1730734971 | Suzanne Marie Needham | Speech-Language Pathologist | 49112 Matador, Amarillo, TX 79109 | 2019-08-05 |
| 1477108686 | Danielle Denee' Coleman | Pharmacy Technician | 5807 Sw 45th Ave, Ste 100, Amarillo, TX 79109 | 2019-08-05 |
| 1245795780 | Monica Favela Prieto | Nurse Practitioner | Bsa Urgent Care Clinc, 4510 Bell St., Amarillo, TX 79109 | 2019-02-08 |
| 1598266439 | Catherine Cheyenne Wills | Behavior Technician | 6031 Bell Street, Amarillo, TX 79109 | 2018-02-26 |
| 1053828038 | Anisa Ann Rodriguez-espinoza | Behavior Technician | 6031 Bell, Amarillo, TX 79109 | 2017-12-29 |
| 1336656313 | Johnny Thomas Johansen | Behavior Technician | 6031 Bell St., Amarillo, TX 79109 | 2017-12-29 |
| 1821535683 | Daniel & Max, LLC | Optometrist | 3501 West I-40, Suite A, Amarillo, TX 79109 | 2017-01-31 |
| Find all providers in zip 79109 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720572415 | Apc-amarillo Surgical Operating Company, LLC | Clinic/Center | 1901 Medi Park Dr Ste 1, Amarillo, TX 79106-2110 | 2018-06-18 |
| 1194245951 | Psg Surgery Center LLC | Clinic/Center | 1010 S Coulter St, Amarillo, TX 79106-1781 | 2017-06-22 |
| 1811387368 | Aua Surgical Center, LLC | Clinic/Center | 8207 West Amarillo Blvd, Amarillo, TX 79124 | 2015-02-04 |
| 1083643852 | Amarillo Colonoscopy Center Lp | Clinic/Center | 800 Quail Creek Drive, Suite 102, Amarillo, TX 79124-1634 | 2006-07-02 |
| 1922052364 | Amarillo Surgery and Endoscopy, Lp | Clinic/Center | #1 Care Circle, Amarillo, TX 79124-2106 | 2006-05-20 |
| 1467442418 | Northwest Texas Healthcare System Inc | Clinic/Center | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2005-10-21 |
| 1164986683 | Proffer Surgical Center, Pllc | Clinic/Center | 1611 Wallace Blvd, Amarillo, TX 79106-1799 | 2019-01-29 |
| 1962860304 | Cca Asc, LLC | Clinic/Center | 6200 W I 40, Amarillo, TX 79106-2512 | 2016-01-31 |
| 1518356070 | Digestive Disease Center of Amarillo LLC | Clinic/Center | 6833 Plum Creek Dr, Amarillo, TX 79124-1602 | 2015-01-21 |
| 1407191984 | Bsa Hospital LLC | Clinic/Center | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2012-12-10 |
| Find all providers in AMARILLO | ||||
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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.