Job Dornaivil

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

21-177 Issued in WI

Practice address

6130 Tours CT Apt 105
Indianapolis, IN 46220-4617

Phone

(302) 390-7772

NPI assigned

May 20, 2022

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 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1679211601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 TOURS CT APT 105",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204617",
            "telephone_number": "302-390-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 TOURS CT APT 105",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204617",
            "telephone_number": "302-390-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORNAIVIL",
        "first_name": "JOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "WI",
            "license": "21-177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121114371299",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.linkedin.com/in/job-dornaivil-635144a6",
            "affiliation": "N",
            "endpointDescription": "Linkedin",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6130 Tours Ct Apt 105",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462204617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas Morgan Dorantes, MD
• Robert Michael Dorenbusch, DO
• Adrianna Michelle Doria
• Giana Gabrielle Doria
• Isabella Doria
• Meredith Lindsay Dorr, M.D.
• Alyson Chesney Dorrell
• Megan Fitzgerald Dorrell, PHARMD, BCPS
• Allison A Dorris, NP
• Gracen Nicole Dorsch, LMHC

• Surgical Assistant in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Surgical Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.