NPIMap

Individual provider Active NPI

Christopher Domingue, M.D.

  • Family Medicine Physician
  • Oak Grove, LA
National Provider Identifier
1073571824
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
021327 Issued in LA
Practice address
708 E Main St
Oak Grove, LA 71263-2500
Phone
(318) 428-3200
Fax
(318) 428-7896
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 021327 LA Primary

Addresses

Primary practice location

708 E Main St
Oak Grove, LA 71263-2500

Mailing address

706 Ross St
Oak Grove, LA 71263-9798
Phone (318) 428-3237

Other identifiers 1

IdentifierTypeStateIssuer
1494208MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040115000794 LA Practitioner - Family Practice 6002717857 Reassigns benefits to 3 organizations
Practice locations: Oak Grove, LA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Carroll Health Systems, LLCGroup PAC ID 5294627774, shared by 8 NPIs, 21 clinicians

Practice addresses (Care Compare)

706 Ross St
Oak Grove, LA 71263-9798
Phone (318) 428-3237

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
021327LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Carroll Health Systems LLC Current Accepting new patients
West Carroll Health Systems LLC CurrentSince Nov 1, 2003 Accepting new patients
West Carroll Health Systems LLC CurrentSince Nov 1, 2003 Accepting new patients
West Carroll Care Center Inc Past Accepting new patients

Locations

231 W Dent St
Eudora, AR 71640
Phone (318) 428-3237

708 E Main St
Oak Grove, LA 71263
Phone (318) 428-3200

706 Ross St
Oak Grove, LA 71263
Phone (318) 428-3237

Interoperability endpoints

  • Direct secure messaging: cdomingue@wchs.securechart.com

Organizations & group practices 4

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1073571824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 ROSS ST",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "712639798",
            "telephone_number": "318-428-3237",
            "fax_number": "318-428-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 E MAIN ST",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "712632500",
            "telephone_number": "318-428-3200",
            "fax_number": "318-428-7896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUE",
        "first_name": "CHRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "021327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1494208",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Grove, LA

Sources for this page

Verify at the official NPI Registry.