Mark R Doman, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

21947 Issued in TN

Practice address

260 Highway 11 E
Bulls Gap, TN 37711-3416

Phone

(423) 235-4191

Fax

(423) 235-7092

NPI assigned

Jun 22, 2005

Last updated

Aug 29, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

East Tennessee State University Quillen College of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rural Health Services Consortium of Upper East Tennessee IncGroup PAC ID 0941118111, 50 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rural Health Services Consortium of Upper East Tennessee Inc

  dba Bulls Gap Medical Center

  • Federally Qualified Health Center (FQHC)
  • Bulls Gap, TN
  • NPI 1770583544
  Medicare reassignment Care Compare group NPD
• Mark R. Doman, M.D. P.C.

  • Primary Care Clinic/Center
  • Bulls Gap, TN
  • NPI 1225115363
  NPD (past) Authorized official
• Rural Health Services Consortium of Upper East Tennessee Inc

  • Federally Qualified Health Center (FQHC)
  • Kingsport, TN
  • NPI 1255130027
  NPD
• Rural Health Services Consortium of Upper East Tennessee Inc

  • Federally Qualified Health Center (FQHC)
  • Rogersville, TN
  • NPI 1679672562
  NPD
• Lark Medical Associates, LLC

  • Nurse Practitioner
  • Bulls Gap, TN
  • NPI 1831501501
  NPD (past)
• Morristown Clinic Corp

  • Internal Medicine Physician
  • Morristown, TN
  • NPI 1700990959
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1013913391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378570850",
            "telephone_number": "423-235-4191",
            "fax_number": "423-235-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 HIGHWAY 11 E",
            "city": "BULLS GAP",
            "state": "TN",
            "postal_code": "377113416",
            "telephone_number": "423-235-4191",
            "fax_number": "423-235-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMAN",
        "first_name": "MARK",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "21947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3094672",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bulls Gap Pharmacy Inc (Bulls Gap Drugs)
• Laura Ivey Campbell, PHARMD
• Michelle D Cate, FNP
• Tracy L Coffey, FNP
• Cunningham Drugs
• Leslie Renee Elliott, FNP-BC
• Emmaus Medical and Counseling, PLLC
• Gregory Flora
• Jose Garrido, M.D.
• Kristie Vaughn Greenlee, NP

• Internal Medicine Physician in Bulls Gap, TN
• Providers in Bulls Gap, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.