Joseph M Damiani, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G7634 Issued in TX

Practice address

2407 W Louisiana Ave
Suite 102
Midland, TX 79701-5807

Phone

(432) 687-5000

Fax

(432) 687-5001

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, PA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Renew Wound Care of Pennsylvania LLC

  • Internal Medicine Physician
  • Wyncote, PA
  • NPI 1194442640
  Medicare reassignment NPD

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1093821274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 W LOUISIANA AVE",
            "address_2": "SUITE 102",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015807",
            "telephone_number": "432-687-5000",
            "fax_number": "432-687-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 W LOUISIANA AVE",
            "address_2": "SUITE 102",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015807",
            "telephone_number": "432-687-5000",
            "fax_number": "432-687-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMIANI",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "G7634",
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "TX",
            "license": "G7634",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "TX",
            "license": "G7634",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033555602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carl Joseph D'Agostino, M.D.
• Christine M Dailey
• Dale Mansfield Chiropractic Center PLLC
• Dale Mansfield D.C.
• Jesse Jay Dalehite III, M.D.
• Tina Ngoc Dang, PA-S
• Daniel & Max, LLC
• Daniel Nelson MD PA
• Damilola Daniels, PA-S
• Loyce Michelle Daniels, CNP

• Plastic Surgery Physician in Midland, TX
• Providers in Midland, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.