Dominion Orthopaedic Clinic, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DOMINION ORTHOPAEDIC CLINIC, LLC

Practice address

5555 Peachtree Dunwoody Rd NE
Suite 215
Atlanta, GA 30342-1703

Phone

(770) 455-4009

Fax

(770) 455-4065

NPI assigned

Sep 16, 2009

Organization subpart

No

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

Authorized official

Name

John I Foster III, MD

Title

President

Phone

(770) 455-4009

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Dominion Orthopaedic Clinic LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Dominion Orthopaedic Clinic, LLC

  • Non-Pharmacy Dispensing Site
  • Atlanta, GA
  • NPI 1598950941
  NPD tax ID
• Dominion Orthopaedic Clinic, LLC

  • Durable Medical Equipment & Medical Supplies
  • Lilburn, GA
  • NPI 1841523057
  NPD tax ID

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1386977833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 215",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421703",
            "telephone_number": "770-455-4009",
            "fax_number": "770-455-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 215",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421703",
            "telephone_number": "770-455-4009",
            "fax_number": "770-455-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION ORTHOPAEDIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-455-4009",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "GRP7986",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerald Domescik, M.D.
• Domina Umbrae LLC
• Kenneth Lee Dominguez, MD
• Kristin Dominguez, DC
• Judy Wu Dominick, PA-C
• Dominion Orthopaedic Clinic, LLC
• Dominion Orthopaedic Clinic, LLC
• Dominion Partners Home Care of Atlanta LLC
• Lindsey Dominique, RBT
• Don'T Go to Prison Initiative

• Durable Medical Equipment & Medical Supplies in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.