Jacqueline Dominick (NPI# 1366424921, PAC ID# 9032139720) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1366424921 |
| PAC ID by PECOS | 9032139720 |
| Professional Enrollment ID | I20051123000560 |
| Full Name | Jacqueline Dominick |
| Organization Legal Name | UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC |
| Address |
301 Hospital Dr Glen Burnie MD 21061-5803 |
| Phone Number | 4107874924 |
| Gender | F |
| Credential | NP |
| Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3678472214 |
| Number of Group Practice Members | 335 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210043 | UNIVERSITY OF MD BALTIMORE WASHINGTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 4107874924 | UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC |
| Organization Legal Name | UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC |
| Physicians | 353 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Schmitz | Nurse Practitioner | University of Maryland Community Medical Group Inc | 500 Cadmus Ln, Suite 205, Easton, MD 21601-4094 |
| Gurpreet Kaur Saini | Internal Medicine | University of Maryland Community Medical Group Inc | 2540 Centreville Rd, Centreville, MD 21617-2681 |
| Patricia D Scripko | Neurology | University of Maryland Community Medical Group Inc | 490 Cadmus Ln, Suite 102, Easton, MD 21601-4091 |
| Ahmed Abdel-gawad | Pediatric Medicine | University of Maryland Community Medical Group Inc | 400 Byrn St A, Cambridge, MD 21613-1910 |
| Sabrina C Sopha | Pathology | University of Maryland Community Medical Group Inc | 920 Elkridge Landing Rd, Fl 4, Linthicum, MD 21090-2917 |
| Saeed Salehinia | Psychiatry | University of Maryland Community Medical Group Inc | 300 Bryn St, Cambridge, MD 21613-1908 |
| Lakesha M Addison Harris | Nurse Practitioner | University of Maryland Community Medical Group Inc | 920 Elkridge Landing Rd, Fl 4, Linthicum, MD 21090-2917 |
| Theresa E Deveaux | Nurse Practitioner | University of Maryland Community Medical Group Inc | 920 Elkridge Landing Rd, Fl 4, Linthicum, MD 21090-2917 |
| Marianne R Cunanan Bush | Internal Medicine | University of Maryland Community Medical Group Inc | 920 Elkridge Landing Rd, Fl 4, Linthicum, MD 21090-2917 |
| Brian J Roeder | Physician Assistant | University of Maryland Community Medical Group Inc | 219 S Washington St, Easton, MD 21601-2913 |
| Street Address |
301 HOSPITAL DR |
| City | GLEN BURNIE |
| State | MD |
| Zip | 21061-5803 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiffany Parker | Certified Registered Nurse Anesthetist (crna) | First Colonies Anesthesia Associates, LLC | 301 Hospital Dr, Glen Burnie, MD 21061-5803 |
| Sridevi Praveen | Nurse Practitioner | University of Maryland Community Medical Group Inc | 301 Hospital Dr, Glen Burnie, MD 21061-5803 |
| Marshall Benjamin | Vascular Surgery | University of Maryland Community Medical Group Inc | 301 Hospital Dr, Glen Burnie, MD 21061-5803 |
| Harvinder Singh | Hematology/oncology | University of Maryland Community Medical Group Inc | 301 Hospital Dr, Glen Burnie, MD 21061-5803 |
| Rachel Mallalieu | Emergency Medicine | Baltimore Washington Emergency Physicians, Inc. | 301 Hospital Dr, Glen Burnie, MD 21061-5803 |
| Wondaferew A Berhie | Internal Medicine | University of Maryland Community Medical Group Inc | 301 Hospital Dr, Glen Burnie, MD 21061-5803 |
| Sharon A Campbell | Nurse Practitioner | Mdics At Bwmc LLC | 301 Hospital Dr, Glen Burnie, MD 21061-5803 |
| Katherine A Lambert | Physician Assistant | Parkway Medical Association LLC | 301 Hospital Dr, Glen Burnie, MD 21061-5803 |
| Madhu Sreekanth Jasti | Neurology | University of Maryland Community Medical Group Inc | 301 Hospital Dr, Glen Burnie, MD 21061-5803 |
| Babajide Oluleye | Anesthesiology | First Colonies Anesthesia Associates, LLC | 301 Hospital Dr, Glen Burnie, MD 21061-5803 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deep Hasmukh Dalal | Rheumatology | 1406 B S Crain Hwy 207, Glen Burnie, MD 21061 | |
| Samantha Villanueva | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| Chinasa Onyeje | Nurse Practitioner | Minute Clinic LLC | 7095 Baltimore Annapolis Blvd, Glen Burnie, MD 21061-1431 |
| Carmen Negron-wagman | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| Leanne Mckoy | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| John Ohlhaver | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| Shawn Marie Wallace | Nurse Practitioner | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Suite B, Glen Burnie, MD 21061-2593 |
| Nadia Koran Krause | Nurse Practitioner | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Suite B, Glen Burnie, MD 21061-2593 |
| Richard P Campbell | Physician Assistant | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Glen Burnie, MD 21061-2593 |
| Karen Ann Cousins Brown | Geriatric Medicine | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Glen Burnie, MD 21061-2593 |
| Find all physicians in zip 21061 | |||
| City | GLEN BURNIE |
| Zip Code | 21061 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GLEN BURNIE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jacqueline Dominick.
| 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.