Carly Kaye Domes, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1100 Larrabee Ave Ste 100
Bellingham, WA 98225-7341

Phone

(360) 685-1225

NPI assigned

Jul 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• University at Buffalo Neurosurgery, Inc.

  • Specialist
  • Niagara Falls, NY
  • NPI 1295287662
  NPD
• University at Buffalo Neurosurgery, Inc.

  • Neurological Surgery Physician
  • Williamsville, NY
  • NPI 1306896220
  NPD
• A.Machin, M.D. P.a.

  dba Fairhaven Pediatrics Inc.

  • Pediatrics Physician
  • Bellingham, WA
  • NPI 1982342457
  NPD (past)

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1841776457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LARRABEE AVE STE 100",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LARRABEE AVE STE 100",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257341",
            "telephone_number": "360-685-1225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 George Karl Blvd",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NY",
            "postal_code": "142217183",
            "country_code": "US",
            "telephone_number": "716-218-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMES",
        "first_name": "CARLY",
        "middle_name": "KAYE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Caitlin Doherty
• Kathleen Dohman
• Carol Isabel Dolgoff, CDP
• Gary D Dolin
• Douglas William Doll, CDP
• Elizabeth Donaldson
• Maggie Xueying Dong, O.D., M.S.
• Roland XM Donisi
• Hannah Donk, DPT
• Austin Taylor Donnell

• Physician Assistant in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.