Meegan Landry Domangue, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

A10604 Issued in LA

Practice address

7301 Hennessy Blvd
#200
Baton Rouge, LA 70801

Phone

(225) 766-0050

Fax

(225) 766-1499

NPI assigned

Aug 20, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spine Center LLCGroup PAC ID 2769928746, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

• Spine Center, LLC

  • Orthopaedic Surgery Physician
  • Baton Rouge, LA
  • NPI 1023860574
  Medicare reassignment Care Compare group
• Bone & Joint Clinic of Baton Rouge, Inc a Professional Medical Corp

  • Orthopaedic Surgery Physician
  • Baton Rouge, LA
  • NPI 1306835079
  Medicare reassignment

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245196800000",
    "number": "1023265022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98035",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70898",
            "telephone_number": "225-766-0050",
            "fax_number": "225-766-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 HENNESSY BLVD",
            "address_2": "#200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70801",
            "telephone_number": "225-766-0050",
            "fax_number": "225-766-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMANGUE",
        "first_name": "MEEGAN",
        "middle_name": "LANDRY",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2009-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "A10604",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "A10604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ross Michael Doize, M.D.
• Adrienne Castille Dolan, PA-C
• Dolby Research LL
• Nicholas James Doll, M.D.
• Samantha Ann Dollar
• Jean Durmy Domercant, M.D.
• Danielle Michelle Domingue, CIT
• Gina Marie Domingue
• Kasha Domingue
• Kierra Domingue

• Physician Assistant in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.