Active NPI
Jacquelin Doman
- General Practice Physician
- Bethesda, MD
National Provider Identifier
1194584953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 0102209632
- Practice address
- 8901 Wisconsin Ave
Bethesda, MD 20889-0004 - Phone
- (248) 797-6227
- NPI assigned
- Mar 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 0102209632 | VA | Primary |
Addresses
Primary practice location
8901 Wisconsin Ave
Bethesda, MD 20889-0004
Mailing address
1828 W Houstonia Ave
Royal Oak, MI 48073-3994
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102209632 | VA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1194584953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1828 W HOUSTONIA AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480733994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 WISCONSIN AVE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208890004",
"telephone_number": "248-797-6227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMAN",
"first_name": "JACQUELIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-15",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0102209632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.