Active NPI
Nancy A Domanowski, DPM
- Podiatrist
- Brookpark, OH
National Provider Identifier
1366523276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36-003237
- Practice address
- 14401 Snow Rd Ste 102
Brook Park, OH 44142-2583 - Phone
- (216) 267-0304
- Fax
- (216) 267-1077
- NPI assigned
- Oct 18, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36-003237 | OH | Primary |
Addresses
Primary practice location
14401 Snow Rd Ste 102
Brook Park, OH 44142-2583
Mailing address
9823 Lake Ave Apt 207
Cleveland, OH 44102-1200
Phone (216) 281-5074
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 |
|---|---|---|---|
| 36-003237 | OH | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buckeye Foot Care | Podiatrist | Past | Accepting new patients |
| Buckeye Foot Care | Podiatrist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Podiatrist
- Brookpark, OH
- NPI 1093893380
-
- Podiatrist
- Willoughby, OH
- NPI 1275159345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366523276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9823 LAKE AVE APT 207",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441021200",
"telephone_number": "216-281-5074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14401 SNOW RD STE 102",
"city": "BROOK PARK",
"state": "OH",
"postal_code": "441422583",
"telephone_number": "216-267-0304",
"fax_number": "216-267-1077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMANOWSKI",
"first_name": "NANCY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OH",
"license": "36-003237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookpark, OH
- Parker William Deloney Jr.
- Devoted Family Home Care LLC
- Devoted Family Home Health LLC
- Devoted Family Transportation Company LLC
- Rhiannon Rosemary Dickson, R.N
- David John Donofrio, APRN
- DRS. Hill & Thomas Co. (Westside Imaging Center)
- Kevin Michael Duffy, CDCA
- Tiffany Anne Duttko
- East Park Care Center (East Park Care - Laboratory)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.