Mary Ann R Domingo in Granger - Rheumatology
Mary Ann R Domingo - NPI 1053396127
Mary Ann R Domingo is a Rheumatology in Granger, Indiana. Mary Ann R Domingo practices all healthcare services and medical treatments related to Rheumatology. The NPI Number for Mary Ann R Domingo is 1053396127. The last update date is 2021-04-01.
Mary Ann R Domingo's current location address is 6901 N Main St Ste 102, Granger, Indiana. You can contact this provider via phone number 5746474500 and fax number 5746476354. The mailing address for Mary Ann R Domingo is 6901 N Main St Ste 102, Granger, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Ann R Domingo |
|---|---|
| Address | 6901 N Main St Ste 102, Granger, Indiana |
| Phone Number | 5746474500 |
| Fax Number | 5746476354 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1053396127 |
|---|---|
| Provider Enumeration Date | 2005-12-13 |
| Last Updated Date | 2021-04-01 |
Provider Mailing Address Detail
| Address | 6901 N Main St Ste 102 |
|---|---|
| City | Granger |
| State | Indiana (IN) |
| Post Code | 465308022 |
| Phone Number | 5746474500 |
| Fax Number | 5746476354 |
Provider's Primary Taxonomy Detail
| Speciality | Rheumatology |
|---|---|
| Taxonomy | 207Rr0500X |
| Licence No | 01061323A |
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Definition: An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 803598 | IN | BCBS MAIN STREET | |
| 200537970 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mary Ann R Domingo by the Centers for Medicare & Medicaid Services?
The Mary Ann R Domingo has been assigned the NPI (National Provider Identifier) 1053396127. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mary Ann R Domingo's physical address?
The Mary Ann R Domingo is physically located at 6901 N Main St Ste 102, in the city of Granger, IN, with the postal code 465308022.
What is Mary Ann R Domingo's area of expertise and its corresponding taxonomy classification?
The Mary Ann R Domingo's field of specialization is Rheumatology, and it falls under the taxonomy code 207Rr0500X, which categorizes healthcare providers based on their areas of practice.
When did Mary Ann R Domingo receive its 1053396127 assignment?
The Mary Ann R Domingo was assigned its 1053396127 on 2005-12-13, which is the date when this unique identifier was issued to the organization.
When was the Mary Ann R Domingo's information last updated?
The Mary Ann R Domingo's information was last updated on 2021-04-01.
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