Cal Anthony Domingue, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

A10610 Issued in LA

Practice address

5000 Ambassador Caffery Pkwy BLDG 14a
Lafayette, LA 70508-6984

Phone

(337) 470-3580

Fax

(337) 470-3586

NPI assigned

Dec 9, 2005

Last updated

Dec 31, 2015By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Louisiana Vascular Limb Salvage and Cardiology ApmcGroup PAC ID 5799123618, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
• Ochsner St Martin Hospital Hospital, Breaux Bridge, LA, CCN 191302

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DFABCD/Endpoint/DFABCD

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.

• Louisiana Vascular Limb Salvage and Cardiology Apmc

  • Cardiovascular Disease Physician
  • Lafayette, LA
  • NPI 1417712043
  Medicare reassignment Care Compare group
• CLHG-Avoyelles LLC

  • General Acute Care Hospital
  • Marksville, LA
  • NPI 1639618853
  Medicare reassignment NPD (past)
• CLHG-Avoyelles LLC

  dba Cottonport Family Care Center

  • Family Medicine Physician
  • Cottonport, LA
  • NPI 1063211944
  NPD
• Acadian Physician Practices LLC

  • Surgery Physician
  • Eunice, LA
  • NPI 1568615268
  NPD (past)
• Cardiovascular Institute of the South, LLC

  • Cardiovascular Disease Physician
  • Houma, LA
  • NPI 1982689113

  Surgical

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lafayette General Medical Center Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1275536799
  Care Compare affiliation
• St Martin Hospital, Inc.

  dba St Martin Hospital

  • Critical Access Hospital
  • Breaux Bridge, LA
  • NPI 1437482817
  Care Compare affiliation

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451520000000",
    "number": "1437134707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54422",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701544422",
            "telephone_number": "337-470-3580",
            "fax_number": "337-470-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 AMBASSADOR CAFFERY PKWY BLDG 14A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086984",
            "telephone_number": "337-470-3580",
            "fax_number": "337-470-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUE",
        "first_name": "CAL",
        "middle_name": "ANTHONY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2015-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "LA",
            "license": "A10610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1624861",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00220721",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sadie Doll, PSY.D.
• Sarah L Domec, SLP
• Jennifer Magee Domengeaux, SLP
• April Foreman Domingue, LOTR
• Brittany Michelle Domingue, PMHNP-BC
• Daniel John Domingue, DDS
• Edwin Paul Domingue Jr., P.D.
• James Neal Domingue, MD
• Lydia Domingue, NP
• Meredith Domingue, CCC-SLP

• Surgical Physician Assistant in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Surgical Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.