Dominick 'S Anesthesia Service Inc

Primary specialty

Rural Acute Care HospitalTaxonomy code 282NR1301X

License

ROO49310 Issued in OK

Legal business name

DOMINICK 'S ANESTHESIA SERVICE INC

Practice address

17781 S.543 Road
Tahlequah, OK 74464-2000

Phone

(918) 207-0727

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Dominick Peter Palmisano, C.R.N.A.

Title

President

Phone

(918) 260-9749

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508947987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 398",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744650398",
            "telephone_number": "918-260-9749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17781 S.543 ROAD",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744642000",
            "telephone_number": "918-207-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINICK 'S ANESTHESIA SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PALMISANO",
        "authorized_official_first_name": "DOMINICK",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-260-9749",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.R.N.A."
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "OK",
            "license": "ROO49310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rural Acute Care Hospital in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Rural Acute Care Hospital in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.