Jeremy Davis Dominguez, PA-C
Individual provider Active NPI Physician Assistant · Midland, TX
NPI 1841508462 · NPPES record last updated Feb 6, 2025
Key facts
- NPI
- 1841508462
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA06951 (TX)
- Practice address
- 4705 Briarwood Avenue
Midland, TX 79707-2639 - Phone
- (432) 505-4145
- Fax
- (833) 941-0864
- NPI assigned
- Sep 16, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Urgent Care Providers PLLC
Wes Tex Urgent Care PLLC
Practice addresses (Care Compare)
4705 Briarwood Ave
Midland, TX 79707-2639
Phone (432) 505-4145
5514 N Big Spring St
Midland, TX 79705-2697
Phone (432) 375-5247
6950 Eastridge Rd
Odessa, TX 79765-8971
Phone (432) 366-0207
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110323000162 | TX | Practitioner - Physician Assistant | 0840473260 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Southwestern Medical Center at Dallas | Current |
Accepting new patients | |
| Wes Tex Urgent Care, PLLC | Current |
Accepting new patients | |
| Wes Tex Urgent Care, PLLC | Current |
Accepting new patients | |
| Wes Tex Urgent Care PLLC | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current |
Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| The University of Texas Southwestern Medical Center at Dallas | Current |
Accepting new patients | |
| Wes Tex Urgent Care, PLLC | Current |
Accepting new patients | |
| MCH Professional Care | Past | Accepting new patients |
Locations
616 N Main St
Andrews, TX 79714
Phone (432) 375-5247
2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563
808 Joliet Ave
Lubbock, TX 79415
Phone (806) 722-7400
602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898
4705 Briarwood Ave
Midland, TX 79707
Phone (432) 505-4145
210 W Longview Ave
Ste A
Midland, TX 79701
Phone (432) 789-1587
5514 N Big Spring St
Midland, TX 79705
Phone (432) 316-2441
6301 Andrews Hwy
Midland, TX 79706
Phone (432) 375-5247
3490 E Yukon Rd
Odessa, TX 79762
Phone (432) 375-5247
6950 Eastridge Rd
Odessa, TX 79765
Phone (432) 366-0207
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Interoperability endpoints
- jeremy.dominguez.1@26958.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA06951 | TX | Yes |
Addresses
Primary practice location
4705 Briarwood Avenue
Midland, TX 79707-2639
Mailing address
4705 Briarwood Avenue
Midland, TX 79707-2639
Phone (432) 505-4145
Other practice location 1
3490 East Yukon Rd
Odessa, TX 79762-2010
Phone (432) 520-4086
Other practice location 2
5514 N Big Spring Street
Midland, TX 79705-2697
Phone (432) 316-2441
Other practice location 3
6950 Eastridge Road
Odessa, TX 79765-8971
Phone (432) 505-4145
Other practice location 4
6301 Andrews Hwy
Midland, TX 79706-3147
Phone (432) 505-4147
Other practice location 5
616 N Main Street
Andrews, TX 79714-5207
Phone (432) 505-4146
Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.