Peter Joseph Domenig, DO | |
911 W Henderson St Ste 110, Salisbury, NC 28144-2700 | |
(704) 633-9441 | |
(704) 637-9006 |
Full Name | Peter Joseph Domenig |
---|---|
Gender | Male |
Speciality | Urology |
Location | 911 W Henderson St Ste 110, Salisbury, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134618945 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 2023-00894 (North Carolina) | Primary |
Entity Name | Piedmont Stone Center Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700827409 PECOS PAC ID: 2961315718 Enrollment ID: O20031107000688 |
Entity Name | Novant Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
Mailing Address | Practice Location Address |
---|---|
Peter Joseph Domenig, DO Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 633-9441 | Peter Joseph Domenig, DO 911 W Henderson St Ste 110, Salisbury, NC 28144-2700 Ph: (704) 633-9441 |
Dr. Wayne Allen Cline Jr., MD Urology Medicare: Not Enrolled in Medicare Practice Location: 911 W Henderson St, Ste 110, Salisbury, NC 28144 Phone: 704-633-9441 | |
Atlee Rollins Johnson Iii, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 911 W Henderson St, Ste 110, Salisbury, NC 28144 Phone: 704-633-9441 | |
Vance F Merhoff, MD Urology Medicare: Medicare Enrolled Practice Location: 911 W Henderson St, Ste 110, Salisbury, NC 28144 Phone: 704-633-9441 Fax: 704-637-9006 | |
Robert Alvin Bertram, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 911 W Henderson St, Ste 110, Salisbury, NC 28144 Phone: 704-633-9441 Fax: 704-637-9006 | |
Jason Richard Greenlee, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 911 W Henderson St Ste 110, Salisbury, NC 28144 Phone: 704-633-9441 Fax: 704-637-9006 | |
Jigishkumar Bipinchandra Vyas, MD Urology Medicare: Medicare Enrolled Practice Location: 1601 Brenner Ave, Salisbury, NC 28144 Phone: 800-706-9126 |