Maxfelonilo a Domingo MD PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME0043605 Issued in FL

Legal business name

MAXFELONILO A DOMINGO MD PA

Practice address

760 SE 5TH Ter
Crystal River, FL 34429-4852

Phone

(352) 795-4165

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Maxfelonilo A. Domingo, M.D.

Title

President

Phone

(352) 795-4165

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1871528489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2890",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344232890",
            "telephone_number": "352-795-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 SE 5TH TER",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294852",
            "telephone_number": "352-795-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXFELONILO A DOMINGO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "DOMINGO",
        "authorized_official_first_name": "MAXFELONILO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-795-4165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0043605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "06004119",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Sue Martin, MD
• Sarah M Maruszczak, SLP
• Michael Masterson
• Rachel M Mathew, MA, BCPCC
• Siddharth Mathur, MD
• Michael Maynor, MD
• Joshua McAfee, CCC-SLP
• Kevin McCavera
• Michele Selina McClain, LMT
• Sandra Yount McDonald, CRNA

• Cardiovascular Disease Physician in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.