| Miss Domonique Jade Grothause, PA-C | |
|
340 Polaris Pkwy, Westerville, OH 43082-7971 | |
| (614) 839-2300 | |
| (614) 839-2301 |
| Full Name | Miss Domonique Jade Grothause |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 340 Polaris Pkwy, Westerville, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245955848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.007865RX (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Domonique Jade Grothause, PA-C Po Box 920120, Dallas, TX 75392-0120 Ph: () - | Miss Domonique Jade Grothause, PA-C 340 Polaris Pkwy, Westerville, OH 43082-7971 Ph: (614) 839-2300 |
Wade Walnoha, P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 S Cleveland Ave, Westerville, OH 43081 Phone: 614-794-0481 Fax: 614-794-3711 | |
Troy Magaw, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 S Cleveland Ave, Westerville, OH 43081 Phone: 614-794-0481 Fax: 614-794-3711 | |
Cameron Powell, P.A.-C. Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 S Cleveland Ave, Westerville, OH 43081 Phone: 614-794-0481 Fax: 614-794-3711 | |
Ms. Ivonne Viridiana Perez Cardona, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 550 S Cleveland Ave Ste C, Westerville, OH 43081 Phone: 614-898-9410 | |
Nicole Valentine, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 655 Africa Rd, Westerville, OH 43082 Phone: 614-326-2672 | |
Maxwell Benjamin Couch, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 444 N Cleveland Ave Ste 130, Westerville, OH 43082 Phone: 614-839-1118 | |
Jackson Macdonald, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 575 Copeland Mill Rd Ste 1d, Westerville, OH 43081 Phone: 614-794-0481 |