Michael T Dome, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA00079 Issued in TX

Practice address

6411 Fannin St
Ste 1020
Houston, TX 77030-1501

Phone

(832) 325-7090

NPI assigned

Oct 3, 2005

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Fred E Griffiths

  • Geriatric Medicine (Family Medicine) Physician
  • Austin, TX
  • NPI 1609821719
  NPD (past)
• Little York Medical Diagnostic Center, PLLC

  • Multi-Specialty Clinic/Center
  • Houston, TX
  • NPI 1336462969
  NPD (past)
• TMH Physician Organization

  • Critical Care Medicine (Anesthesiology) Physician
  • Houston, TX
  • NPI 1598799116
  NPD (past)
• West Little York Medical Center, PLLC

  • Primary Care Clinic/Center
  • Houston, TX
  • NPI 1750693685
  NPD (past)

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972590214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 COUNTY ROAD 154",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774885269",
            "telephone_number": "979-532-1539",
            "fax_number": "979-532-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6411 FANNIN ST",
            "address_2": "STE 1020",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301501",
            "telephone_number": "832-325-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOME",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA00079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carin Domann, D.D.S., M.S.D.
• Brittany Domas
• Vickie Domaschk, M.A.
• Ann Madeline Domask, M.D.
• Sarah Dombalis
• Marite Domenech-Newhoues, RD, LD
• Johanna Kanerva Domer, M.D.
• Karen S. Domin, BCBA 1-21-49866
• Dominique Domingo
• Nicole Domingo

• Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.