Individual provider Active NPI

Francis M Domurat, M.D.

  • Medical Oncology Physician
  • Corbin, KY
National Provider Identifier
1114919925
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
45134 Issued in KY
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

Updated by the provider on Dec 31, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100195430MedicaidKY
K037680OtherKYMEDICARE PTAN
P01074854OtherKYRAILROAD MEDICARE PTAN
MD4172MedicaidAK

Other names 1

  • Dr. Frank M Domurat Other name

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

LicenseStateTypeSpecialty
2286AKMDPharmacist
TP206KYMDFamily Medicine Physician
ME 100326FLMDMedical Oncology Physician
45134KYMDMedical 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.

Verify at the official NPI Registry.