WAYNE D DOMIN MD NPI 1568427912

NPI Information

NPI: 1568427912
Provider Name: WAYNE D DOMIN, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
96 HIGH STREET
LACONIA, NH
ZIP 03246
Phone: (603) 524-9197
Get Directions

Wayne D Domin, MD is an obstetrics gynecology in Laconia, NH. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Wayne D Domin, MD NPI is 1568427912. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

96 HIGH STREET
LACONIA, NH
ZIP 03246-537
Phone: (603) 524-9197
Fax: (603) 524-9142

The NPI 1568427912 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 4/19/2006 and was last updated on 9/1/2011.

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	207V00000X	Obstetrics & Gynecology		6193	NEW HAMPSHIRE	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	81166895	MEDICAID	NEW HAMPSHIRE
2	RE0071	MEDICARE PIN	NEW HAMPSHIRE
3	020346032	OTHER		TAX ID
4	00000575	MEDICAID	NEW HAMPSHIRE
5	0105602YONH01	OTHER	NEW HAMPSHIRE	ANTHEM
6	NH6895	MEDICARE ID-TYPE UNSPECIFIED	NEW HAMPSHIRE	GRP
7	E75461	MEDICARE UPIN
8	DORE0071	MEDICARE ID-TYPE UNSPECIFIED	NEW HAMPSHIRE	INDIVID

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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