Jose C Velasco Di Domenico (NPI# 1376731968, PAC ID# 8123250156) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MEDICAL ONCOLOGY.
| Nation Provider ID (NPI) | 1376731968 |
| PAC ID by PECOS | 8123250156 |
| Professional Enrollment ID | I20140718000771 |
| Full Name | Jose C Velasco Di Domenico |
| Organization Legal Name | CENTRAL CARE PA |
| Address |
1401 W 12th Ave Emporia KS 66801-2570 |
| Phone Number | 6203421117 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | MEDICAL ONCOLOGY |
| Secondary Specialties | HEMATOLOGY/ONCOLOGY |
| Group Practice PAC ID | 7911801014 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170068 | SOUTHWEST MEDICAL CENTER |
| 170175 | WESTERN PLAINS MEDICAL COMPLEX |
| 171324 | SATANTA DISTRICT HOSPITAL |
| 171343 | STANTON COUNTY HOSPITAL |
| 170023 | ST CATHERINE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1401 W 12th Ave, Emporia, KS 66801-2570 | 6203421117 | CENTRAL CARE PA |
| 1401 W 12th Ave, Central Care Cancer Ctr, Emporia, KS 66801-2570 | 6203421117 | CENTRAL CARE PA |
| 410 E Spruce St, Central Care Cancer Ctr, Garden City, KS 67846-5659 | 6202722579 | CENTRAL CARE PA |
| 305 W 15th St, 203 Central Care Cancer Center, Liberal, KS 67901-2455 | 6206244700 | CENTRAL CARE PA |
| 730 Medical Ctr Dr, Newton, KS 67114-8778 | 3162831141 | CENTRAL CARE PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 35% | |
| MIPS_EC_143_overall | Oncology: Medical and Radiation - Pain Intensity Quantified | 94% | |
| MIPS_EC_144_overall | Oncology: Medical and Radiation - Plan of Care for Pain | 95% |
| Organization Legal Name | CENTRAL CARE PA |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yazan A Abuodeh | Radiation Oncology | Central Care Pa | 511 S Santa Fe Ave, Central Care Cancer Ctr, Salina, KS 67401-4145 |
| Jennifer Lee Walter | Nurse Practitioner | Central Care Pa | 410 E Spruce St, Central Care Cancer Ctr, Garden City, KS 67846-5659 |
| Garry J Brown | Radiation Oncology | Central Care Pa | 1501 N Oakland Ave, Bolivar, MO 65613-3020 |
| Julie K West | Physician Assistant | Central Care Pa | 730 Medical Ctr Dr, Newton, KS 67114-8778 |
| Pamela L Kerns | Nurse Practitioner | Central Care Pa | 1401 W 12th Ave, Emporia, KS 66801-2570 |
| Angelica K Varga | Physician Assistant | Central Care Pa | 1501 N Oakland Ave, Bolivar, MO 65613-3020 |
| Claudia Perez-tamayo | Radiation Oncology | Central Care Pa | 1401 W 12th Ave, Emporia, KS 66801-2570 |
| Leonid Shunyakov | Medical Oncology | Central Care Pa | 1501 N Oakland Ave, Bolivar, MO 65613-3020 |
| Chloe Jo Michelle Wingert | Physician Assistant | Central Care Pa | 1501 N Oakland Ave, Bolivar, MO 65613-3020 |
| Mark R Fesen | Medical Oncology | Central Care Pa | 9300 E 29th St N, Suite 315, Wichita, KS 67226-2184 |
| Street Address |
1401 W 12TH AVE |
| City | EMPORIA |
| State | KS |
| Zip | 66801-2570 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela L Kerns | Nurse Practitioner | Central Care Pa | 1401 W 12th Ave, Emporia, KS 66801-2570 |
| Claudia Perez-tamayo | Radiation Oncology | Central Care Pa | 1401 W 12th Ave, Emporia, KS 66801-2570 |
| Gregory D Nanney | Medical Oncology | Central Care Pa | 1401 W 12th Ave, Emporia, KS 66801-2570 |
| Anis Toumeh | Medical Oncology | Central Care Pa | 1401 W 12th Ave, Emporia, KS 66801-2570 |
| Lori M Williams | Physician Assistant | Central Care Pa | 1401 W 12th Ave, Emporia, KS 66801-2570 |
| Elshami M Elamin | Medical Oncology | Central Care Pa | 1401 W 12th Ave, Emporia, KS 66801-2570 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana M Gowen | Chiropractic | 1605 W 6th Ave, Emporia, KS 66801-2406 | |
| Semhal Abbay | Psychiatry | Mental Health Center of East Central Kansas A Corporation | 1000 Lincoln St, Emporia, KS 66801-2449 |
| Inderjeet Kaur | Psychiatry | Mental Health Center of East Central Kansas A Corporation | 1000 Lincoln St, Emporia, KS 66801-2449 |
| Brian L Muench | Clinical Social Worker | Mental Health Center of East Central Kansas A Corporation | 1000 Lincoln St, Emporia, KS 66801-2449 |
| Hsiang Feng Tsai | Nurse Practitioner | Mental Health Center of East Central Kansas A Corporation | 1000 Lincoln St, Emporia, KS 66801-2449 |
| Lynn B Holliman | Clinical Social Worker | Mental Health Center of East Central Kansas A Corporation | 1000 Lincoln St, Emporia, KS 66801-2449 |
| Dave Provorse | Clinical Psychologist | Mental Health Center of East Central Kansas A Corporation | 1000 Lincoln St, Emporia, KS 66801-2449 |
| Bradley Dirks | Physician Assistant | Mental Health Center of East Central Kansas A Corporation | 1000 Lincoln St, Emporia, KS 66801-2449 |
| Krista L Ohmie | Physician Assistant | Newman Memorial County Hospital | 1201 W 12th Ave, Emporia, KS 66801-2504 |
| Lindsay M Garrett | Physician Assistant | Newman Memorial County Hospital | 1201 W 12th Ave, Emporia, KS 66801-2504 |
| Find all physicians in zip 66801 | |||
| City | EMPORIA |
| Zip Code | 66801 |
| Specialty | MEDICAL ONCOLOGY |
| City + Specialty | EMPORIA + MEDICAL ONCOLOGY |
Please comment or provide details below to improve the information on Jose C Velasco Di Domenico.
| 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.