Dominic Augustine Formaro Jr. (NPI# 1740444058, PAC ID# 0446327621) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1740444058 |
| PAC ID by PECOS | 0446327621 |
| Professional Enrollment ID | I20080930000668 |
| Full Name | Dominic Augustine Formaro Jr. |
| Organization Legal Name | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Address |
1301 Pennsylvania Ave Suite 411 Des Moines IA 50316-2367 |
| Phone Number | 5152635434 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 8729992318 |
| Number of Group Practice Members | 956 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160082 | IOWA METHODIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1301 Pennsylvania Ave, Suite 411, Des Moines, IA 50316-2367 | 5152635434 | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Organization Legal Name | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Physicians | 930 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Ann Burgard | Internal Medicine | Iowa Physicians Clinic Medical Foundation | 2515 Sw State St, 100 Internal Med Ankeny At Prairie Trai, Ankeny, IA 50023-7079 |
| Meredith Swenson | Family Medicine | Iowa Physicians Clinic Medical Foundation | 6010 Mills Civic Pkwy, Suite 200, West Des Moines, IA 50266-8345 |
| Aimee R Sarchet | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 3591 Griffin Ave, Pekin, IL 61554-6258 |
| Valerie Hannenberg | Clinical Social Worker | Iowa Physicians Clinic Medical Foundation | 1824 W 8th St, Cedar Falls, IA 50613-2056 |
| Maged A Ghoprial | Family Medicine | Iowa Physicians Clinic Medical Foundation | 5401 44th Ave Dr, Suite 101, Moline, IL 61265-8126 |
| Emily A Grarup | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 2140 Logan Ave, Suite C, Waterloo, IA 50703-1002 |
| Kyle P Kosman | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 801 Colonial Cir, Norwalk, IA 50211-9637 |
| Nicholas C Rains | Physician Assistant | Iowa Physicians Clinic Medical Foundation | 111 Tower St, Denver, IA 50622-2201 |
| Kurtis A Lucas | Family Medicine | Iowa Physicians Clinic Medical Foundation | 1825 Logan Ave, Waterloo, IA 50703-1999 |
| Christina L Aquino | Clinical Social Worker | Iowa Physicians Clinic Medical Foundation | 830 4th Ave Se, 1 Family Medicine Medical District, Cedar Rapids, IA 52403-2445 |
| Street Address |
1301 PENNSYLVANIA AVE SUITE 411 |
| City | DES MOINES |
| State | IA |
| Zip | 50316-2367 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly C Roberts | Diagnostic Radiology | Radiology Associates of North Texas Pa | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 |
| Robert J Reeb Jr. | Diagnostic Radiology | Radiology Associates of North Texas Pa | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 |
| Shiny C Joice | Nurse Practitioner | Texas Health Physicians Group | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 |
| Marc L Miller | General Surgery | Iowa Physicians Clinic Medical Foundation | 1301 Pennsylvania Ave, Suite 411, Des Moines, IA 50316-2367 |
| Hayley D Brown | Nurse Practitioner | Texas Health Physicians Group | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 |
| Ronald P Prestage | Certified Registered Nurse Anesthetist (crna) | U S Anesthesia Partners of Texas, Pa | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 |
| Prabhna Naveen Kandiyil | Internal Medicine | Texas Health Physicians Group | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 |
| Oghenetega Badidi | Internal Medicine | Texas Health Physicians Group | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 |
| Heather Carden | Nurse Practitioner | Texas Health Physicians Group | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 |
| Kausar Javed | Internal Medicine | Texas Health Physicians Group | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Holley Ann Bermel | Family Medicine | Iowa Physicians Clinic Medical Foundation | 2301 E 14th St, Family Medicine Parks Area, Des Moines, IA 50316-1901 |
| Eric D Johnson | Family Medicine | Iowa Physicians Clinic Medical Foundation | 2301 E 14th St, Family Medicine Parks Area, Des Moines, IA 50316-1901 |
| Erin S Rowan | Family Medicine | Iowa Physicians Clinic Medical Foundation | 2301 E 14th St, Family Medicine Parks Area, Des Moines, IA 50316-1901 |
| Michelle Rhea Satterly | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 2301 E 14th St, Family Medicine Parks Area, Des Moines, IA 50316-1901 |
| Mukti Aich | Family Medicine | Iowa Physicians Clinic Medical Foundation | 2301 E 14th St, Family Medicine Parks Area, Des Moines, IA 50316-1901 |
| Natalie J Brown | Physician Assistant | Iowa Physicians Clinic Medical Foundation | 2301 E 14th St, Family Medicine Parks Area, Des Moines, IA 50316-1901 |
| Carlos A Moe | Family Practice | American Current Care Pa | 2100 Dixon St E, Des Moines, IA 50316-2174 |
| Richard S Bratkiewicz | Emergency Medicine | American Current Care Pa | 2100 Dixon St E, Des Moines, IA 50316-2174 |
| Sara K Lockner | Nurse Practitioner | Central Iowa Hospital Corporation | 700 E Uinversity Ave, Des Moines, IA 50316-2302 |
| Valerie Lynn Ball | Certified Registered Nurse Anesthetist (crna) | Des Moines Anesthesiologists PC | 700 E Uinversity Ave, Des Moines, IA 50316-2302 |
| Find all physicians in zip 50316 | |||
| City | DES MOINES |
| Zip Code | 50316 |
| Specialty | GENERAL SURGERY |
| City + Specialty | DES MOINES + GENERAL SURGERY |
Please comment or provide details below to improve the information on Dominic Augustine Formaro Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.