Dominion Medical Equipment Consortium, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

R3289R Issued in MD

Legal business name

DOMINION MEDICAL EQUIPMENT CONSORTIUM, LLC

Practice address

5513 York Rd
Baltimore, MD 21212-3804

Phone

(443) 825-2955

Fax

(410) 800-2506

NPI assigned

Jul 24, 2013

Organization subpart

No

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

Authorized official

Name

Felix A. Owolabi

Title

Director

Phone

(443) 570-4860

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1295177863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5513 YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123804",
            "telephone_number": "443-570-4860",
            "fax_number": "410-800-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5513 YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123804",
            "telephone_number": "443-825-2955",
            "fax_number": "410-800-2506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9818 Liberty Rd Ste C",
            "address_2": "9818-C Liberty Road",
            "address_purpose": "LOCATION",
            "city": "Randallstown",
            "state": "MD",
            "postal_code": "211332038",
            "country_code": "US",
            "telephone_number": "443-570-4860",
            "fax_number": "410-701-7269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOMINION MEDICAL EQUIPMENT CONSORTIUM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "OWOLABI",
        "authorized_official_first_name": "FELIX",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "443-570-4860"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "R3289R",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "430903100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wanda Inez Dominic, LPN
• Abigail Dominijanni, PA-C
• Kristen Dominik, PHARMD
• Dominion Healthcare Services Inc
• Dominion Home Health, Inc.
• Dominion Resource Center Inc
• Madelyn Dominiski, LCPC
• Aila Katrine Dommestrup
• Hadassah Domnitch
• Hilary Don, MD

• Durable Medical Equipment & Medical Supplies in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Durable Medical Equipment & Medical Supplies in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.