Dr. Dominick Detommaso is a Fort Wayne, Indiana based male podiatrist who is specialized in Podiatric Foot & Ankle Surgery. Active license number of Dr. Dominick Detommaso for Podiatric Foot & Ankle Surgery is 07000410A in Indiana. Dr. Dominick Detommaso provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions, including common to complex disorders and injuries that affect people of all ages. He is uniquely qualified to detect the early stages of diseases that exhibit warning signs in the lower extremities, such as diabetes, arthritis and cardiovascular disease, and can manage foot conditions that may pose an ongoing threat to a patient’s overall health.
Complete Profile:
Dr. Dominick Detommaso speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist - Foot & Ankle Surgery
Credentials:
D.P.M.
Gender:
Male
Practice Address:
7601 W Jefferson Blvd, Fort Wayne, Indiana, 46804-4133
Phone:
260-436-8686
Fax:
260-436-8585
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1013910041
NPI Enumeration Date:
23 May, 2005
NPI Last Update On:
22 Mar, 2016
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Dominick Detommaso are as mentioned below.
License Number
Specialization
State
Status
07000410A
Podiatric Foot & Ankle Surgery
Indiana
Primary
07000410A
Podiatry
Indiana
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Dominick Detommaso such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
100053980A
Medicaid
Indiana
00000089407
Other
ANTHEM
200021084
Other
RAILROAD MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
7601 W Jefferson Blvd, Fort Wayne, Indiana
Zip:
46804-4133
Phone Number:
260-436-8686
Fax Number:
260-436-8585
Patients can reach Dr. Dominick Detommaso at 7601 W Jefferson Blvd, Fort Wayne, Indiana or can call to book an appointment on 260-436-8686. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.