Ivan Dominguez (NPI# 1104070705, PAC ID# 7810143641) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1104070705 |
| PAC ID by PECOS | 7810143641 |
| Professional Enrollment ID | I20120810000492 |
| Full Name | Ivan Dominguez |
| Organization Legal Name | BUFFALO ENDOVASCULAR AND VASCULAR SURGICAL ASSOCIATES, PLLC |
| Address |
100 High St C1 Buffalo NY 14203-1126 |
| Phone Number | 7168593301 |
| Gender | M |
| Graduation Year | 2004 |
| Primary Specialty | VASCULAR SURGERY |
| Group Practice PAC ID | 2567552771 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330103 | OLEAN GENERAL HOSPITAL |
| 330005 | KALEIDA HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 4960 Harlem Rd, Suite 100, Amherst, NY 14226-2560 | 7167487640 | BUFFALO ENDOVASCULAR AND VASCULAR SURGICAL ASSOCIATES, PLLC |
| 100 High St, C1, Buffalo, NY 14203-1126 | 7168593301 | BUFFALO ENDOVASCULAR AND VASCULAR SURGICAL ASSOCIATES, PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 46% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 59% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 99% |
| Organization Legal Name | BUFFALO ENDOVASCULAR AND VASCULAR SURGICAL ASSOCIATES, PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George R Curl | Vascular Surgery | Buffalo Endovascular and Vascular Surgical Associates, Pllc | 100 High St, C1, Buffalo, NY 14203-1126 |
| Sonya S Noor | General Surgery | Buffalo Endovascular and Vascular Surgical Associates, Pllc | 100 High St, C1, Buffalo, NY 14203-1126 |
| Street Address |
100 HIGH ST C1 |
| City | BUFFALO |
| State | NY |
| Zip | 14203-1126 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna J Conway | Nurse Practitioner | Kaleida Health | 100 High St, Buffalo, NY 14203-1126 |
| Gregory J Castiglia | Neurosurgery | University At Buffalo Neurosurgery Inc | 100 High St, Buffalo, NY 14203-1126 |
| Kimberley A Wilson | Nurse Practitioner | Kaleida Health | 100 High St, Buffalo, NY 14203-1126 |
| Gita Zhulovchinova | Nurse Practitioner | Kaleida Health | 100 High St, Buffalo, NY 14203-1126 |
| Ann S Steinwald | Nurse Practitioner | Kaleida Health | 100 High St, Buffalo, NY 14203-1126 |
| Attiya Siddiqi | Internal Medicine | Kaleida Health | 100 High St, Buffalo, NY 14203-1126 |
| Mary E Murphy | Physician Assistant | General Physician Sub II Pllc | 100 High St, Suite 362, Buffalo, NY 14203-1126 |
| Taranne L Benkleman | Nurse Practitioner | Kaleida Health | 100 High St, Buffalo, NY 14203-1126 |
| Maria Ruth Reger | Physician Assistant | Buffalo Medical Group,pc | 100 High St, Buffalo, NY 14203-1126 |
| Linda M Harris | Vascular Surgery | Vascular Interventional Associates, PC | 100 High St, Buffalo, NY 14203-1126 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley E Graney | Qualified Audiologist | Buffalo Hearing and Speech Center, Inc | 50 E N St, Buffalo, NY 14203-1002 |
| Michelle M Dube | Qualified Audiologist | Buffalo Hearing and Speech Center, Inc | 50 E N St, Buffalo, NY 14203-1002 |
| Alison Ulatowski | Qualified Audiologist | Buffalo Hearing and Speech Center, Inc | 50 E N St, Buffalo, NY 14203-1002 |
| Kristine E Weinert | Qualified Audiologist | Buffalo Hearing and Speech Center, Inc | 50 E N St, Buffalo, NY 14203-1002 |
| Caitlin B Marczewski | Qualified Audiologist | Buffalo Hearing and Speech Center, Inc | 50 E N St, Buffalo, NY 14203-1002 |
| Michelle Miller | Qualified Audiologist | Buffalo Hearing and Speech Center, Inc | 50 E N St, Buffalo, NY 14203-1002 |
| Joann M Hammer | Qualified Audiologist | Buffalo Hearing and Speech Center, Inc | 50 E N St, Buffalo, NY 14203-1002 |
| Katrina J Makey | Qualified Audiologist | Buffalo Hearing and Speech Center, Inc | 50 E N St, Buffalo, NY 14203-1002 |
| Laura Kibler | Qualified Speech Language Pathologist | Buffalo Hearing and Speech Center, Inc | 50 E N St, Buffalo, NY 14203-1002 |
| Danielle Hartman | Qualified Audiologist | Buffalo Hearing and Speech Center, Inc | 50 E N St, Buffalo, NY 14203-1002 |
| Find all physicians in zip 14203 | |||
| City | BUFFALO |
| Zip Code | 14203 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | BUFFALO + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Ivan Dominguez.
| 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.