Christopher C Dogonniuck, PA - C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MAOO2392L Issued in PA

Practice address

458 Dolores Dr
Collegeville, PA 19426-1172

Phone

(833) 633-8846

NPI assigned

Jun 12, 2006

Last updated

Oct 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Phoenixville Clinic Company LLC

  dba Cardiology Limerick Tower Health Medical Group

  • Family Medicine Physician
  • Phoenixville, PA
  • NPI 1891866182
  Medicare reassignment
• Phoenixville Clinic Company LLC

  dba Phoenixville Surgical Associates

  • Vascular Surgery Physician
  • Limerick, PA
  • NPI 1790746345
  NPD
• Mercy Management of SE PA

  dba Mercy Fitzgerald CRNA Services

  • Certified Registered Nurse Anesthetist
  • Darby, PA
  • NPI 1346285376
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1396787149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 VAN GORDON ST STE 440",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281709",
            "telephone_number": "833-633-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 DOLORES DR",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194261172",
            "telephone_number": "833-633-8846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Blackhorse Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Coatesville",
            "state": "PA",
            "postal_code": "193202040",
            "country_code": "US",
            "telephone_number": "610-384-7711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOGONNIUCK",
        "first_name": "CHRISTOPHER",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "PA - C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MAOO2392L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Scott Ditty, MSW, LCSW
• Colin Dixon, MS, ATC
• Margaret M. Dixon, MS, CCC-SLP
• Doctor Office Management, Inc. (PhysicianXpress, Inc.)
• Paul P Doghramji, MD
• Larissa F Dominy, D.O.
• Michelle M Donovan, MS, RD, LDN
• Sabrina N Donovan
• Ashley Danielle Doucette
• Stephanie Downer, LPC

• Medical Physician Assistant in Collegeville, PA
• Providers in Collegeville, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.