Avi Elizabeth Domnitz-Gebet, DO

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

OS15654 Issued in FL

Practice address

4107 Neptune Rd
Saint Cloud, FL 34769-6741

Phone

(321) 805-4398

NPI assigned

Sep 3, 2008

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

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

NeurologyAlso: Pediatric Medicine

Education

Chicago College of Osteopathy, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neurology and Pain Treatment LTDGroup PAC ID 1456368778, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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 and National Provider Directory roles.

• Neurology and Pain Treatment, LTD.

  • Neurology Physician
  • Wauwatosa, WI
  • NPI 1982803102
  Medicare reassignment Care Compare group NPD
• Pediatric Neurodevelopmental Associates

  • Neurology with Special Qualifications in Child Neurology Physician
  • Saint Cloud, FL
  • NPI 1629702717
  NPD Authorized official

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1619125622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 NEPTUNE RD",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696741",
            "telephone_number": "321-805-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 NEPTUNE RD",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696741",
            "telephone_number": "321-805-4398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMNITZ-GEBET",
        "first_name": "AVI",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "FL",
            "license": "OS15654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlissa Diaz
• Michael J Diaz, APRN
• Direct Care Pharmacy, LLC
• Divine Transportation Services LLC
• Brenna Elise Doherty
• Cindy L Donawa
• Karen Michele Dotson, FNP-BC
• Kim Marie Doyle, COTA/L
• Samir Draa, M.D.
• Lizette Ann Dreyer, DMD

• Neurology with Special Qualifications in Child Neurology Physician in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.