MR. EDWIN GILBERTO DOMINGUEZ (NPI# 1871928853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871928853 |
| Entity Type | Individual |
| Full Name | MR. EDWIN GILBERTO DOMINGUEZ |
| Credential | SFIDC |
| Practice Address |
43 Smith Rd Newport RI 02841-1006 |
| Mailing Address |
22 Enterprise Ct Newport RI 02840-1013 |
| Practice Telephone | 4018416128 |
| Mailing Telephone | 7326006575 |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2013-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| Street Address |
43 SMITH RD |
| City | NEWPORT |
| State | RI |
| Zip Code | 02841-1006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336140797 | Thomas E Mcgue | Family Medicine | 43 Smith Rd, Newport, RI 02841-1006 | 2005-08-09 |
| 1962958157 | David Davis | Nurse Practitioner | 43 Smith Rd, Newport, RI 02841 | 2016-08-29 |
| 1073964771 | Jessica Louise Batchelder | Physician Assistant | 43 Smith Rd, Newport, RI 02841-1006 | 2016-06-24 |
| 1578944583 | Trent Ainsworth | Family Medicine | 43 Smith Rd, Newport, RI 02841-1006 | 2015-06-16 |
| 1770972176 | Christopher Lane Pope Sr. | General Practice | 43 Smith Rd, Newport, RI 02841 | 2015-01-22 |
| 1952711020 | Jason Valadao | Family Medicine | 43 Smith Rd, Newport, RI 02841-1006 | 2014-04-29 |
| 1407282494 | Albert Cuaresma | Military Health Care Provider | 43 Smith Rd, Newport, RI 02841-1006 | 2013-09-23 |
| 1609202894 | Catherine Webb | Psychologist | 43 Smith Rd, Newport, RI 02841-1006 | 2013-09-19 |
| 1902244478 | James Safford | Dentist | 43 Smith Rd, Newport, RI 02841-1006 | 2013-06-06 |
| 1942543988 | Navy | Clinic/Center | 43 Smith Rd, Newport, RI 02841-1006 | 2013-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841787652 | Southcoast Physicians Group, Inc. | Family Medicine | 670 Aquidneck Avenue, Middletown, RI 02841 | 2018-04-17 |
| 1073708152 | Audra Lynn Seldon | Optometrist | 43 Smith Ave, Newport, RI 02841 | 2007-09-11 |
| 1083713242 | Naval Health Clinic New England | Pharmacy | Bldg 291 King Hall, Naval Ambulatory Care Ctr, King Hall, RI 02841 | 2006-09-22 |
| 1881791630 | Naval Health Clinic New England | Pharmacy | Nhcne, Pharmacy 43 Smith Rd Bld 43, Newport, RI 02841 | 2006-09-20 |
| 1568435022 | Sepehr Rajaei | Dentist | 1173 Whipple Rd, Branch Dental Clinic Newport, Newport, RI 02841 | 2006-02-07 |
| 1245203793 | Luis Francisco Rosario | Dentist | 1173 Whipple Road, Branch Dental Clinic Newport, Newport, RI 02841 | 2006-02-07 |
| 1700862893 | Mark V Sutherland | Family Medicine | 43 Smith Road, Nhcne, Newport, RI 02841 | 2005-12-20 |
| 1912317082 | Leilani Dimond | Family Medicine | Naval Health Clinic New England, 43 Smith Rd, Newport, RI 02841 | 2014-04-29 |
| 1851368609 | Barton H Knox | Dentist | 1173 Whipple Road, Branch Dental Clinic Newport, Newport, RI 02841 | 2006-03-01 |
| 1770557654 | Billy Wilson Hanes Jr. | Dentist | 1173 Whipple Road, Newport, RI 02841 | 2006-02-15 |
| Find all providers in zip 02841 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619106465 | Donald James Mcallister | Military Health Care Provider | 2 Resolute Rd, Newport, RI 02840-1015 | 2009-07-14 |
| 1255308359 | William Barry Wood | Military Health Care Provider | 686 Cushing Rd, Newport, RI 02841-1213 | 2006-03-07 |
| 1407282494 | Albert Cuaresma | Military Health Care Provider | 43 Smith Rd, Newport, RI 02841-1006 | 2013-09-23 |
| 1730447855 | Latese Smith | Military Health Care Provider | 43 Smith Rd, Newport, RI 02841-1006 | 2012-04-26 |
| 1366769721 | Jeremiah Daniel Mcarthur | Military Health Care Provider | 43 Smith Rd, Newport, RI 02841-1002 | 2010-04-26 |
| 1821275371 | Philip L Freytag | Military Health Care Provider | 43 Smith Road, Nhcne Newport, Newport, RI 02841-1002 | 2008-01-28 |
| 1518157411 | Dwight Jabari Ott Jr. | Military Health Care Provider | 43 Smith Rd, Newport, RI 02841-1002 | 2007-07-26 |
| 1811017791 | Dylan Thomas Comerford | Military Health Care Provider | 43 Smith Rd, Newport, RI 02841-1006 | 2007-04-02 |
| 1689642654 | Patrick Dennis O'dell | Military Health Care Provider | 43 Smith Rd, Newport, RI 02841-1006 | 2006-03-08 |
| 1124096144 | Jay B Ferguson | Military Health Care Provider | 43 Smith Rd, Newport, RI 02841-1006 | 2006-03-08 |
| Find all providers in NEWPORT | ||||
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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.