Active NPI
Dominique Anna Giordano, DO, MS
- Surgery Physician
- Brandon, FL
National Provider Identifier
1154908259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 7646
- Practice address
- 119 Oakfield Dr
Brandon, FL 33511-5779 - Phone
- (813) 681-5551
- Fax
- (813) 916-2944
- NPI assigned
- Mar 25, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | 7646 | FL | Primary |
Addresses
Primary practice location
119 Oakfield Dr
Brandon, FL 33511-5779
Mailing address
119 Oakfield Dr
Brandon, FL 33511-5779
Phone (813) 681-5551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210615000950 | FL | Order and Referring Only - General Surgery | 3375943269 | |
| I20240711001180 | GA | Order and Referring Only - Anesthesiology | 3375943269 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16461 | GA | MD | Pharmacist |
| 7646 | FL | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1154908259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 OAKFIELD DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115779",
"telephone_number": "813-681-5551",
"fax_number": "813-916-2944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 OAKFIELD DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115779",
"telephone_number": "813-681-5551",
"fax_number": "813-916-2944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIORDANO",
"first_name": "DOMINIQUE",
"middle_name": "ANNA",
"credential": "DO, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-25",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "7646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.