Active NPI
Francis M Domurat, M.D.
- Medical Oncology Physician
- Corbin, KY
National Provider Identifier
1114919925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 45134
- Practice address
- 1 Trillium Way
Baptist Health Cancer Center
Corbin, KY 40701-8727 - Phone
- (606) 523-1934
- Fax
- (606) 523-1982
- NPI assigned
- Aug 17, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | ME 100326 | FL | |
| Medical Oncology Physician | 207RX0202X | 45134 | KY | Primary |
Addresses
Primary practice location
1 Trillium Way
Baptist Health Cancer Center
Corbin, KY 40701-8727
Mailing address
PO Box 1410
Corbin, KY 40702-1410
Phone (954) 235-2325
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100195430 | Medicaid | KY | |
| K037680 | Other | KY | MEDICARE PTAN |
| P01074854 | Other | KY | RAILROAD MEDICARE PTAN |
| MD4172 | Medicaid | AK |
Other names 1
- Dr. Frank M Domurat
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2286 | AK | MD | Pharmacist |
| TP206 | KY | MD | Family Medicine Physician |
| ME 100326 | FL | MD | Medical Oncology Physician |
| 45134 | KY | MD | Medical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419984000000",
"number": "1114919925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1410",
"city": "CORBIN",
"state": "KY",
"postal_code": "407021410",
"telephone_number": "954-235-2325",
"fax_number": "888-471-7728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 TRILLIUM WAY",
"address_2": "BAPTIST HEALTH CANCER CENTER",
"city": "CORBIN",
"state": "KY",
"postal_code": "407018727",
"telephone_number": "606-523-1934",
"fax_number": "606-523-1982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMURAT",
"first_name": "FRANCIS",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2014-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "FL",
"license": "ME 100326",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "KY",
"license": "45134",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100195430",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "K037680",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "P01074854",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD4172",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "FRANK",
"last_name": "DOMURAT",
"middle_name": "M",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Corbin, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.