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DOMINICK JACOB TROMBETTA MD NPI 1073975058


NPI Information

NPI: 1073975058
Provider Name: DOMINICK JACOB TROMBETTA, MD
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

PECOS Registration: Yes

Address:
2521 E 15TH ST
CASPER, WY
ZIP 82609
Phone: (307) 237-7444
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Dominick Jacob Trombetta, MD is a child and adolescent psychiatry psychiatry neurology in Casper, WY with 8 years of experience. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Dominick Jacob Trombetta, MD NPI is 1073975058. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2016

The provider's business location address is:

2521 E 15TH ST
CASPER, WY
ZIP 82609-126
Phone: (307) 237-7444
Fax: (307) 237-2166

The NPI 1073975058 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 3/28/2016 and was last updated on 8/17/2023.


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
12084P0800XPsychiatry & NeurologyPsychiatry12796SOUTH DAKOTANo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
32084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry12796SOUTH DAKOTAYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.