Patrick Domkowski (NPI# 1366423022, PAC ID# 9436135118) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1366423022 |
| PAC ID by PECOS | 9436135118 |
| Professional Enrollment ID | I20040624001122 |
| Full Name | Patrick Domkowski |
| Organization Legal Name | STEWARD MEDICAL GROUP INC |
| Address |
2290 W Eau Gallie Blvd Melbourne FL 32935-3133 |
| Phone Number | 7725818003 |
| Gender | M |
| Credential | MD |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 2860688728 |
| Number of Group Practice Members | 1568 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100217 | STEWARD SEBASTIAN RIVER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2290 W Eau Gallie Blvd, Melbourne, FL 32935-3133 | 7725818003 | STEWARD MEDICAL GROUP INC |
| 14430 Us Hwy 1, Suite 101, Sebastian, FL 32958-3289 | 7725818003 | STEWARD MEDICAL GROUP INC |
| Organization Legal Name | STEWARD MEDICAL GROUP INC |
| Physicians | 1501 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ribhu Tushar Jha | Neurosurgery | Steward Medical Group Inc | 736 Cambridge St Ccp, 8 Neurosurg. Neurology, Brighton, MA 02135-2907 |
| Amber Hicks-thibodeau | Family Medicine | Steward Medical Group Inc | 5170 Belmont Ave, Youngstown, OH 44505-1022 |
| Neal Mahesh Patel | Gastroenterology | Steward Medical Group Inc | 2501 Shenango Valley Fwy, Suite 3, Hermitage, PA 16148-2536 |
| George P Christophi | Gastroenterology | Steward Medical Group Inc | 8075 Spyglass Hill Rd, Suite 101, Melbourne, FL 32940-8281 |
| Darya P. Zakirov | Nurse Practitioner | Steward Medical Group Inc | 100 Industrial Park Rd, Suite 1, Taunton, MA 02780-7396 |
| Cynthia E Rider | Nurse Practitioner | Steward Medical Group Inc | 8005 Bay St, Suite 1, Sebastian, FL 32958-3244 |
| Jeffrey Henry Janco | Nurse Practitioner | Steward Medical Group Inc | 140 Lincoln Ave, Haverhill, MA 01830-6700 |
| Pamela Ann Johnson | Nurse Practitioner | Steward Medical Group Inc | 119 Longwood Ave, Rockledge, FL 32955-2827 |
| Shailendra Singh | Interventional Cardiology | Steward Medical Group Inc | 1800 Sulllivan Trail, Suite 200, Easton, PA 18040-8493 |
| Asa Paris | Certified Registered Nurse Anesthetist (crna) | Steward Medical Group Inc | 235 N Pearl St, Brockton, MA 02301-1794 |
| Street Address |
2290 W EAU GALLIE BLVD |
| City | MELBOURNE |
| State | FL |
| Zip | 32935-3133 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James T Go | Otolaryngology | Medical Associates of Brevard LLC | 2290 W Eau Gallie Blvd, Suite 110, Melbourne, FL 32935-3134 |
| Rajesh K Desai | Endocrinology | Medical Associates of Brevard LLC | 2290 W Eau Gallie Blvd, Suite 100, Melbourne, FL 32935-3134 |
| Ervin Szoke | Endocrinology | Medical Associates of Brevard LLC | 2290 W Eau Gallie Blvd, Suite 100, Melbourne, FL 32935-3134 |
| Nikhita Dhruv | Endocrinology | Medical Associates of Brevard LLC | 2290 W Eau Gallie Blvd, Suite 100, Melbourne, FL 32935-3134 |
| Sumeet Chandra | Hematology/oncology | Cancer Care Centers of Brevard Inc | 2290 W Eau Gallie Blvd, Suite 202, Melbourne, FL 32935-3145 |
| Melissa A Studebaker | Nurse Practitioner | Cancer Care Centers of Brevard Inc | 2290 W Eau Gallie Blvd, Suite 202, Melbourne, FL 32935-3145 |
| Pavana Beerelli | Allergy/immunology | Medical Associates of Brevard LLC | 2290 W Eau Gallie Blvd, Suite 205, Melbourne, FL 32935-3145 |
| David Russell Feldman | Diagnostic Radiology | Coastline Imaging Inc | 2290 W Eau Gallie Blvd, Suite 108, Melbourne, FL 32935-3134 |
| Mark W Minor | Allergy/immunology | Medical Associates of Brevard LLC | 2290 W Eau Gallie Blvd, Suite 205, Melbourne, FL 32935-3145 |
| Liliana D Gutierrez | Infectious Disease | Orlando Health Physician Group Inc | 2290 W Eau Gallie Blvd, Melbourne, FL 32935-3133 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Srinivas R Dontineni | Internal Medicine | 2800 Aurora Rd, Suite F, Melbourne, FL 32935-2015 | |
| Madhavi T Chary | Internal Medicine | 2800 Aurora Rd, Suite F, Melbourne, FL 32935-2015 | |
| Robert Dunne | Podiatry | 2717 N Wickham Rd, Suite 4, Melbourne, FL 32935-2200 | |
| Sharon Sinangote Haner | Physical Therapy | Central Florida Spine and Injury LLC | 2755 N Wickham Rd, Suite 102, Melbourne, FL 32935-2226 |
| Gregory C Priest | Chiropractic | 2755 N Wickham Rd, Suite 104, Melbourne, FL 32935-2226 | |
| Kathy D Rohaley | Physical Therapy | Central Florida Spine and Injury LLC | 2755 N Wickham Rd, Suite 102, Melbourne, FL 32935-2226 |
| Evan Michael Rush | Chiropractic | 2755 N Wickham Rd, Suite 104, Melbourne, FL 32935-2226 | |
| Anne M Gregas | Optometry | 3200 N Wickham Rd, Suite 1, Melbourne, FL 32935-2321 | |
| Mark Dillon | Gastroenterology | 3150 N Wickham Rd, Suite 6, Melbourne, FL 32935-2322 | |
| Thomas K Velleff | Pain Management | 3150 N Wickham Rd, Suite 9, Melbourne, FL 32935-2322 | |
| Find all physicians in zip 32935 | |||
| City | MELBOURNE |
| Zip Code | 32935 |
| Specialty | GENERAL SURGERY |
| City + Specialty | MELBOURNE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Patrick Domkowski.
| 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.