Shirley Rose Domingo (NPI# 1043331788, PAC ID# 7113173253) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1043331788 |
| PAC ID by PECOS | 7113173253 |
| Professional Enrollment ID | I20161212000271 |
| Full Name | Shirley Rose Domingo |
| Organization Legal Name | SURGICAL ASSOCIATES INC |
| Address |
1700 Coffee Rd Modesto CA 95355-2803 |
| Phone Number | 2095795628 |
| Gender | F |
| Graduation Year | 2003 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 6002110814 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050557 | MEMORIAL MEDICAL CENTER |
| 050528 | MEMORIAL HOSPITAL LOS BANOS |
| Address | Phone | Organization |
|---|---|---|
| 1700 Coffee Rd, Modesto, CA 95355-2803 | 2095795628 | SURGICAL ASSOCIATES INC |
| Organization Legal Name | SURGICAL ASSOCIATES INC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandon D Varnell | General Surgery | Surgical Associates Inc | 2448 E 81st St, Suite 1100, Tulsa, OK 74137-4230 |
| Evan Kenneth Fitz | General Surgery | Surgical Associates Inc | 2448 E 81st St, Suite 1100, Tulsa, OK 74137-4230 |
| Linda Lou Wong | General Surgery | Surgical Associates Inc | 550 S Beretania St, Suite 509, Honolulu, HI 96813-2496 |
| Mark R Meese | General Surgery | Surgical Associates Inc | 2448 E 81st St, Suite 1100, Tulsa, OK 74137-4230 |
| William C Sutterfield | General Surgery | Surgical Associates Inc | 2448 E 81st St, Suite 1100, Tulsa, OK 74137-4230 |
| Christopher L Cole | General Surgery | Surgical Associates Inc | 2448 E 81st St, Suite 1100, Tulsa, OK 74137-4230 |
| Laura E Starrh | Nurse Practitioner | Surgical Associates Inc | 1700 Coffee Rd, Modesto, CA 95355-2803 |
| Ronald E Jackson | General Surgery | Surgical Associates Inc | 2448 E 81st St, Suite 1100, Tulsa, OK 74137-4230 |
| Alan Hoi Sing Cheung | General Surgery | Surgical Associates Inc | 550 S Beretania St, Suite 403, Honolulu, HI 96813-2496 |
| Jacqueline Iris Lee | General Surgery | Surgical Associates Inc | 642 Ulukahiki St, Suite 207, Kailua, HI 96734-4439 |
| Street Address |
1700 COFFEE RD |
| City | MODESTO |
| State | CA |
| Zip | 95355-2803 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chun J Chang | Emergency Medicine | Cep America - California | 1700 Coffee Rd, Modesto, CA 95355-2803 |
| Andrea B Ajayi | Emergency Medicine | Cep America - California | 1700 Coffee Rd, Modesto, CA 95355-2803 |
| Dana L Buchanan | Emergency Medicine | Cep America - California | 1700 Coffee Rd, Modesto, CA 95355-2803 |
| Jessica L Wiser | Emergency Medicine | Cep America - California | 1700 Coffee Rd, Modesto, CA 95355-2803 |
| Guy Raz | Emergency Medicine | Cep America - California | 1700 Coffee Rd, Modesto, CA 95355-2803 |
| Pamela Schwendy | Emergency Medicine | Cep America - California | 1700 Coffee Rd, Modesto, CA 95355-2803 |
| Keith A Hughes | Emergency Medicine | Cep America - California | 1700 Coffee Rd, Modesto, CA 95355-2803 |
| Chi Kong Poon | Emergency Medicine | Cep America - California | 1700 Coffee Rd, Modesto, CA 95355-2803 |
| Ranti Sherfat Bolaji | Emergency Medicine | Cep America - California | 1700 Coffee Rd, Modesto, CA 95355-2803 |
| Racheal Alissa Keller | Emergency Medicine | Cep America - California | 1700 Coffee Rd, Modesto, CA 95355-2803 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naihsien D Chen | Internal Medicine | 1303 Mable Ave, Modesto, CA 95355-1119 | |
| Greg A Vigna | Physical Medicine and Rehabilitation | Greg Vigna Md Clcp | 1303 Mable Ave, Modesto, CA 95355-1119 |
| David D Nisley | Physician Assistant | Greg Vigna Md Clcp | 1303 Mable Ave, Modesto, CA 95355-1119 |
| Patrick N Rhoades | Physical Medicine and Rehabilitation | 1300 Mable Ave, Suite 2, Modesto, CA 95355-1120 | |
| Sandhya Ravichandran | Anesthesiology | Medical Anesthesia Consultants Medical Group Inc | 1300 Mable Ave, Suite 1, Modesto, CA 95355-1120 |
| L Edward Elliott | Optometry | L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr | 3601 Coffee Rd, Modesto, CA 95355-1161 |
| Mutahir U Khan | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
| Rajesh Kumar Dubey | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
| Kent Hon-wah Wong | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
| Joydev Acharya | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
| Find all physicians in zip 95355 | |||
| City | MODESTO |
| Zip Code | 95355 |
| Specialty | GENERAL SURGERY |
| City + Specialty | MODESTO + GENERAL SURGERY |
Please comment or provide details below to improve the information on Shirley Rose Domingo.
| 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.