Ricardo C Domingo MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RICARDO C DOMINGO MD INC

Practice address

955 N Michigan Ave
Greensburg, IN 47240

Phone

(812) 663-7277

Fax

(812) 662-7307

NPI assigned

Jun 15, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Shelly D Knecht

Title

Office Administrator

Phone

(812) 663-7277

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1598709362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 N MICHIGAN AVE",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "47240",
            "telephone_number": "812-663-7277",
            "fax_number": "812-662-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 N MICHIGAN AVE",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "47240",
            "telephone_number": "812-663-7277",
            "fax_number": "812-662-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO C DOMINGO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KNECHT",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "812-663-7277",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Greensburg, IN
• Providers in Greensburg, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.