Dominick Detommaso in Fort Wayne - Foot & Ankle Surgery
Dominick Detommaso - NPI 1013910041
Dominick Detommaso is a Foot & Ankle Surgery in Fort Wayne, Indiana. Dominick Detommaso practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Dominick Detommaso is 1013910041. The last update date is 2016-03-22.
Dominick Detommaso's current location address is 7601 W Jefferson Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604368686 and fax number 2604368585. The mailing address for Dominick Detommaso is 7601 W Jefferson Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dominick Detommaso |
|---|---|
| Address | 7601 W Jefferson Blvd, Fort Wayne, Indiana |
| Phone Number | 2604368686 |
| Fax Number | 2604368585 |
| Sole Proprietor | N |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1013910041 |
|---|---|
| Provider Enumeration Date | 2005-05-23 |
| Last Updated Date | 2016-03-22 |
Provider Mailing Address Detail
| Address | 7601 W Jefferson Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 4680441330 |
| Phone Number | 2604368686 |
| Fax Number | 2604368585 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 07000410A |
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Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100053980A | IN | -- | |
| 89407 | ANTHEM | ||
| 200021084 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Dominick Detommaso by the Centers for Medicare & Medicaid Services?
The Dominick Detommaso has been issued the NPI (National Provider Identifier) 1013910041 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Dominick Detommaso located?
The Dominick Detommaso is located at 7601 W Jefferson Blvd, Fort Wayne, IN 4680441330.
What is Dominick Detommaso's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Dominick Detommaso is Foot & Ankle Surgery, and the taxonomy code that categorizes this field of expertise is 213Es0103X.
On what date did the Centers for Medicare & Medicaid Services assign the 1013910041 to Dominick Detommaso?
The Centers for Medicare & Medicaid Services assigned the 1013910041 to Dominick Detommaso on 2005-05-23.
As of what date was the information pertaining to Dominick Detommaso, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Dominick Detommaso, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-03-22.