Dr. Dominick Detommaso
Podiatrist Foot & Ankle Surgery
7601 W Jefferson Blvd
Fort Wayne
, Indiana 46804-4133
Dr. Dominick Detommaso
Podiatrist Foot & Ankle Surgery
7601 W Jefferson Blvd
Fort Wayne
, Indiana 46804-4133
(260) 436-8585
Write a Review Share Save Call
About
Features
Specialties
- Podiatrist
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Dominick Detommaso
- 7601 W Jefferson Blvd
- Fort Wayne, IN
- Zip : 46804-4133
- Fax : (260) 436-8585
- Phone : (260) 436-8686
Second Address
- Dr. Dominick Detommaso
- 7601 W Jefferson Blvd
- Fort Wayne, IN
- Zip : 46804-4133
- Fax : (260) 436-8585
- Phone : (260) 436-8686
Reviews
FAQs
Where did Dr. Dominick Detommaso attend graduate school?
Where did Dr. Dominick Detommaso do his residency?
Where did Dr. Dominick Detommaso do his fellowship?
Is Dr. Dominick Detommaso board certified?
What type of doctor is Dr. Dominick Detommaso
In what state does Dr. Dominick Detommaso practice in?
Where is Dr. Dominick Detommaso ’s practice located?
What is Dr. Dominick Detommaso ’s gender?
Is Dr. Dominick Detommaso a sole practitioner?
Is Dr. Dominick Detommaso accepting new patients?
What languages does Dr. Dominick Detommaso speak?
Does Dr. Dominick Detommaso accept insurance?
Does Dr. Dominick Detommaso offers telemedicine?
What is Dr. Dominick Detommaso ’s professional license number?
What is Dr. Dominick Detommaso ’s NPI number?
Does Dr. Dominick Detommaso have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 07000410A | IN |
| N | 222Z00000X | Podiatrist | 07000410A | IN |
| Y | 213ES0103X | Foot & Ankle Surgery | 07000410A | IN |
National Provider Identifier
| NPI | 1013910041 |
|---|---|
| Provider Name | Dr. Dominick Detommaso |
| First Address | Fort Wayne, IN 46804-4133 |
| Second Address | Fort Wayne, IN 46804-4133 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2005 |
| Last Update Date | 22/03/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00000089407 | ANTHEM (01) | |
| 100053980A | (05) | IN |
| 200021084 | RAILROAD MEDICARE (01) | |
| T34491 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.