Look up the most recent NPI and PECOS records

David Dominguez

Family Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider David Dominguez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1366451122
Provider Type
Individual
Full Name
Dominguez, David
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
8/7/2006
Last Updated
7/12/2018

Contact Information

Practice Location

1021 Silver Bluff Rd, Aiken, SC 29803

(806) 648-0587

(803) 648-9846

Mailing Location

PO Box 1705, Augusta, GA 30903-1705

(803) 648-0587

(806) 648-9846

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 1246241 South Carolina

David Dominguez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Muniz, Leopoldo M

Schwartz, Alan Christopher

Vaughters, Ray B.

Umg Prompt Care South Carolina,Llc

Keigans, Mary Cade

Moore, Thomas Allen

Manigo-Johnson, Monica

Bryan, Tiffany Renee'

Nusrat, Faheem B

Doctors Care Sc, Pa