Thomas M Domanick is a Stratford, Connecticut based male podiatrist with 47 years of experience in Primary Podiatric Medicine. He completed his graduation from New York College Of Podiatric Medicine in 1977. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Thomas M Domanick for Primary Podiatric Medicine is P00289 in Connecticut. Thomas M Domanick provides care, treatment and management of the diabetic, elderly and circulation-impaired. The diagnosis, intervention and treatment on time may save patients from amputation, restore mobility or prevent other serious, more costly problems. By early detection patients can get appropriate treatment and prevent more serious problems.
Complete Profile:
Thomas M Domanick 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.
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.
PAC ID:
4284756685
Enrollment ID:
I20110413000146
NPI Number:
1629012661
NPI Enumeration Date:
16 Jun, 2006
NPI Last Update On:
07 Jan, 2015
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Thomas M Domanick are as mentioned below.
License Number
Specialization
State
Status
P00289
Primary Podiatric Medicine
Connecticut
Primary
P00289
Podiatric Foot Surgery
Connecticut
Secondary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Thomas M Domanick is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Hartford Healthcare Medical Group Specialists Llc (3173866241)
1056
Other Medical Identifiers:
Other legacy medical identifiers associated with Thomas M Domanick such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
004051868
Medicaid
Connecticut
0V2746
Other
Connecticut
HEALTH NET
ZS701
Other
Connecticut
OXFORD
004144309
Other
Connecticut
MEDICAID DME
0V2746
Other
Connecticut
HEALTH NET SMART CHOICE
0071014
Other
Connecticut
AETNA
030000289CT02
Other
Connecticut
ANTHEM BC/BS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2660 Main St, Suite 216 Bridgeport, Connecticut
Zip:
06606-5369
Phone Number:
203-377-1777
Fax Number:
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Patients can reach Thomas M Domanick at 1825 Barnum Ave, Stratford, Connecticut or can call to book an appointment on 203-377-1777. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.