DR. WILLIAM K. DOMARAD D.O. NPI 1831108455

NPI Information

NPI: 1831108455
Provider Name: DR. WILLIAM K. DOMARAD, D.O.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
505 NE 87TH AVE STE 460
VANCOUVER, WA
ZIP 98664
Phone: (360) 514-7771
Get Directions

DR. William K. Domarad, D.O. is a neurology psychiatry neurology in Vancouver, WA with 25 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. William K. Domarad, D.O. NPI is 1831108455. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduation Year:1999

The provider's business location address is:

505 NE 87TH AVE STE 460
VANCOUVER, WA
ZIP 98664-965
Phone: (360) 514-7771
Fax: (360) 514-7769

The NPI 1831108455 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 6/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	7330	SOUTH DAKOTA	No
2	2084N0400X	Psychiatry & Neurology	Neurology	DO-04320	IOWA	No
3	2084N0400X	Psychiatry & Neurology	Neurology	02003790A	INDIANA	No
4	2084N0600X	Psychiatry & Neurology	Clinical Neurophysiology	O-1291	IDAHO	No
5	2084N0400X	Psychiatry & Neurology	Neurology	OP00001949	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	806992600	MEDICAID	IDAHO
2	000010148189	OTHER	IDAHO	REGENCE BLUE SHIELD OF ID
3	201057130	MEDICAID	INDIANA
4	000000756863	OTHER		ANTHEM (REID PHYSICIAN ASSOCIATES, INC.)
5	S5247	OTHER	IDAHO	BLUE CROSS OF IDAHO
6	0109759	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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