Dr Johanna Kanerva Domer, MD - Pediatrics in Scottsdale, AZ

Dr Johanna Kanerva Domer, MD is a Pediatrics physician based in Scottsdale, Arizona. Dr Johanna Kanerva Domer is licensed to practice in Arizona (license number 29475) and her current practice location is 4848 E Cactus Rd, Suite 940, Scottsdale, Arizona. She can be reached at her office (for appointments etc.) via phone at (480) 443-0050.

NPI number for Dr Johanna Kanerva Domer is 1093089187 and her current mailing address is 4848 E Cactus Rd, Suite 940, Scottsdale, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093089187.

Contact Information

Dr Johanna Kanerva Domer, MD
4848 E Cactus Rd, Suite 940,
Scottsdale, AZ 85254-4163
(480) 443-0050
Not Available

Map and Direction




Physician's Profile

Full NameDr Johanna Kanerva Domer
GenderFemale
SpecialityPediatrics
Location4848 E Cactus Rd, Scottsdale, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093089187
  • Provider Enumeration Date: 03/07/2012
  • Last Update Date: 03/07/2012

Medical Identifiers

Medical identifiers for Dr Johanna Kanerva Domer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093089187NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 29475 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Johanna Kanerva Domer is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Johanna Kanerva Domer, MD
4848 E Cactus Rd, Suite 940,
Scottsdale, AZ 85254-4163

Ph: (480) 443-0050
Dr Johanna Kanerva Domer, MD
4848 E Cactus Rd, Suite 940,
Scottsdale, AZ 85254-4163

Ph: (480) 443-0050

Reviews and Comments


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