Gerald H Dominguez, MD PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME0008716 Issued in FL

Legal business name

GERALD H DOMINGUEZ, MD PA

Practice address

4710 N Habana Ave
Ste #201
Tampa, FL 33614-7146

Phone

(813) 872-7987

Fax

(813) 875-1832

NPI assigned

Oct 5, 2010

Last updated

Oct 5, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gerald Henry Dominguez, MDNPI 1285653022

Title

President

Phone

(813) 872-7987

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gerald Henry Dominguez, MD

  • Gastroenterology Physician
  • Tampa, FL
  • NPI 1285653022
  Authorized official Same address or phone

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1356650535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 N HABANA AVE",
            "address_2": "STE #201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147146",
            "telephone_number": "813-872-7987",
            "fax_number": "813-875-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 N HABANA AVE",
            "address_2": "STE #201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147146",
            "telephone_number": "813-872-7987",
            "fax_number": "813-875-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD H DOMINGUEZ, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-872-7987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0008716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043129000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Georgia Better Health Group LLC
• Georgia Surgicare (IBI Urgent Care Center at Tampa)
• Georgia Surgicare (IBI Pain and Spine at Tampa)
• Maureen Georgy Palso, DDS
• Marissa Geraci, LMHC
• Gerald L. Spoto, D.D.S., P.a.
• Gerald M Copeland II DMD
• Gerald M. Kluft D.D.S. P.a. (Periodontal Associates)
• Gerard C Mosiello MD PL
• Braedon Gerard, LCSW, CAP

• Gastroenterology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.