Dr Damian Jerzy Domanski, MD | |
1160 E 3900 S Ste 2000, Salt Lake City, UT 84124-1236 | |
(801) 266-3418 | |
(801) 266-4174 |
Full Name | Dr Damian Jerzy Domanski |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 27 Years |
Location | 1160 E 3900 S Ste 2000, Salt Lake City, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508012030 | NPI | - | NPPES |
0092152 | Medicaid | OH | |
7100268970 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 11493948-1205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lone Peak Hospital | Draper, UT | Hospital |
St Mark's Hospital | Salt lake city, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountainstar Cardiology St Marks Llc | 2961661855 | 32 |
Entity Name | Mountainstar Cardiology St Marks Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437446168 PECOS PAC ID: 2961661855 Enrollment ID: O20120313000497 |
Mailing Address | Practice Location Address |
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Dr Damian Jerzy Domanski, MD Po Box 741729, Atlanta, GA 30374-1729 Ph: () - | Dr Damian Jerzy Domanski, MD 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124-1236 Ph: (801) 266-3418 |
Dr. Mehmet Akkaya, M.D Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: University Of Utah Hospital Cardiology, 3o N,1900 E, Rm:4a100, Salt Lake City, UT 84132 Phone: 801-505-1689 | |
Dr. Willard Dere, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 500 Foothill Blvd, Salt Lake City, UT 84148 Phone: 801-582-1565 | |
Megan Meier, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121 | |
Siddharth K. Iyengar, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606 | |
Taryn A. Young, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-4384 Fax: 801-507-4398 | |
David C. Haak, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-585-3580 | |
Therese J. Battiola, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606 |