Stanley Joseph Dombek Jr., M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

9647 Issued in OK

Practice address

13900 N. Portland Ave. Suite 100
Advancced Body Scan
Oklahoma City, OK 73134-4042

Phone

(405) 242-1390

Fax

(405) 242-1400

NPI assigned

Dec 15, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1891064127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13900 N. PORTLAND AVE.",
            "address_2": "ADVANCED BODY IMAGING, LLC.",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731344042",
            "telephone_number": "405-242-1390",
            "fax_number": "405-242-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13900 N. PORTLAND AVE. SUITE 100",
            "address_2": "ADVANCCED BODY SCAN",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731344042",
            "telephone_number": "405-242-1390",
            "fax_number": "405-242-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMBEK",
        "first_name": "STANLEY",
        "middle_name": "JOSEPH",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OK",
            "license": "9647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronnie Dollar
• Stefen Dollar, M.S.
• Jonita Michelle Dolton, BS
• Wendy K Domann, MS, LPC CANDIDATE
• Pamela Domasin, LCSW
• David Bradley Domek, MD
• Grayson Alexander Domingue, MD
• Diego Ernesto Dominguez Garcia, DO
• Itzel Dominguez
• Kristina Angelica Dominguez, M.S., CCC-SLP

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.