Theresa Domers, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

22953 Issued in SC

Practice address

172 W Woodglen Rd
Spartanburg, SC 29301-5305

Phone

(864) 278-8542

NPI assigned

Jan 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Emergency Professional Services, Inc.

  • Emergency Medicine Physician
  • Seaman, OH
  • NPI 1093762353
  Medicare reassignment NPD
• Magis Emergency Medicine LLC

  • Emergency Medicine Physician
  • Parma, OH
  • NPI 1801287511
  Medicare reassignment NPD
• Physicians Link Center LLC

  • Emergency Medicine Physician
  • Elyria, OH
  • NPI 1235172925
  Medicare reassignment NPD
• Ues Ahuja LLC

  • Emergency Medicine Physician
  • Beachwood, OH
  • NPI 1467883934
  Medicare reassignment NPD
• University Hospitals Cleveland Medical Center

  • Nurse Practitioner
  • Cleveland, OH
  • NPI 1043747454
  Medicare reassignment NPD
• University Hospitals Cleveland Medical Center

  • Community/Retail Pharmacy
  • Cleveland, OH
  • NPI 1952488108
  NPD
• Acs Emergency Physicians of SC PC

  • Emergency Medicine Physician
  • Beaufort, SC
  • NPI 1124355375
  NPD (past)
• Nebraska Emergency Medicine PC

  • Emergency Medicine Physician
  • Lincoln, NE
  • NPI 1669576831
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393113600000",
    "number": "1831160191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 W WOODGLEN RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293015305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 W WOODGLEN RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293015305",
            "telephone_number": "864-278-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMERS",
        "first_name": "THERESA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2014-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "22953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH",
            "identifier": "20051869",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "189204",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "229531",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902063",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5024654",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doctors Care SC, PA
• Doctors Care SC, PA
• Doctors Care SC, PA
• Suzanne Dodson, LPC
• Linda K Dohse, N.P.
• Lisa Byler Dominesey, MCD, CCC-SLP
• Traci Ann Dominick, MSW, VSP
• Dominion Family Services
• Don'T Forget About Me
• Donald J. Kamer, O.D. LLC

• Emergency Medicine Physician in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Emergency Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.