Robert Javier Dominguez, MD | |
784 E Main St, Lancaster, OH 43130-3983 | |
(740) 687-0100 | |
(740) 687-0145 |
Full Name | Robert Javier Dominguez |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 784 E Main St, Lancaster, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619965472 | NPI | - | NPPES |
0613161 | Medicaid | OH | |
35053076D | Other | OH | OHIO MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 35053076D (Ohio) | Primary |
207Q00000X | Family Medicine | 35053076D (Ohio) | Secondary |
208D00000X | General Practice | 35053076D (Ohio) | Secondary |
Entity Name | Fairfield Healthcare Professionals Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457396368 PECOS PAC ID: 4789596362 Enrollment ID: O20031125000932 |
Entity Name | Emergency Medicine Physicians Of Lancaster Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881025344 PECOS PAC ID: 8729216080 Enrollment ID: O20140113000127 |
Mailing Address | Practice Location Address |
---|---|
Robert Javier Dominguez, MD 784 E Main St, Lancaster, OH 43130-3983 Ph: (740) 687-0100 | Robert Javier Dominguez, MD 784 E Main St, Lancaster, OH 43130-3983 Ph: (740) 687-0100 |
Dr. Michelle Decoste, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 401 N Ewing St, Lancaster, OH 43130 Phone: 740-687-8000 Fax: 740-687-8357 | |
Charles L Pruitt, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 401 N Ewing St, Lancaster, OH 43130 Phone: 740-687-8000 Fax: 740-687-8939 | |
Dr. Sarah Elizabeth Asbridge, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 401 N Ewing St, Lancaster, OH 43130 Phone: 740-687-8000 | |
John P Scott, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 401 N Ewing St, Lancaster, OH 43130 Phone: 740-687-8000 Fax: 740-687-8939 | |
Dr. Kevin Karl Bowman, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 401 N Ewing St, Lancaster, OH 43130 Phone: 740-687-8000 Fax: 740-687-8939 | |
Dr. Steven Dan Kapetansky, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1566 Monmouth Dr Ste 101, Lancaster, OH 43130 Phone: 740-808-8368 Fax: 415-548-2694 |