Wilton Jose Montan Domigues

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

3825 Edwards Rd Ste 103
Cincinnati, OH 45209-1262

Phone

(859) 445-6201

NPI assigned

Nov 18, 2024

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1609691591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 EDWARDS RD STE 103",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091262",
            "telephone_number": "859-445-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 EDWARDS RD STE 103",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091262",
            "telephone_number": "859-445-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAN DOMIGUES",
        "first_name": "WILTON",
        "middle_name": "JOSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Ann Monsson, MA
• Elise Juniper Monsson
• Yngve Monsson, PH.D.
• David Montag, MD
• Jacqueline Montalvo, NP
• Gilynett Montanez
• Kyle Montano
• Philip Montano, ATC
• Alexander Healy Montavon, AA-C
• Luke Montavon, DPT

• Community Health Worker in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Community Health Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.