| Joseph K Domenico, DPM | |
|
249 Eddie Dowling Hwy, North Smithfield, RI 02896-8213 | |
| (401) 769-5611 | |
| (401) 769-6238 |
| Full Name | Joseph K Domenico |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 17 Years |
| Location | 249 Eddie Dowling Hwy, North Smithfield, Rhode Island |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972780583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | DPM00327 (Rhode Island) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Our Lady Of Fatima Hospital | North providence, RI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blackstone Valley Foot And Ankle Inc | 2769708684 | 2 |
| Prospect Chartercare Sjhsri Llc | 7315179314 | 24 |
| Provider Name | Prospect Chartercare Sjhsri Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588089759 PECOS PAC ID: 7315179314 Enrollment ID: O20140722001928 |
| Provider Name | Blackstone Valley Foot And Ankle Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1720482193 PECOS PAC ID: 2769708684 Enrollment ID: O20150311001332 |
| Provider Name | North Smithfield Foot And Ankle, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1013726520 PECOS PAC ID: 0143745570 Enrollment ID: O20250418000348 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph K Domenico, DPM 345 Armistice Blvd, Pawtucket, RI 02861-2429 Ph: (401) 725-5576 | Joseph K Domenico, DPM 249 Eddie Dowling Hwy, North Smithfield, RI 02896-8213 Ph: (401) 769-5611 |
North Smithfield Foot And Ankle, Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 249 Eddie Dowling Hwy, North Smithfield, RI 02896 Phone: 401-769-5611 Fax: 401-769-6238 | |
Dr. James C Sullivan, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 249 Eddie Dowling Hwy, North Smithfield, RI 02896 Phone: 401-269-5611 Fax: 401-769-6238 | |
North Smithfield Podiatry Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 249 Eddie Dowling Highway, North Smithfield, RI 02896 Phone: 401-769-5611 Fax: 401-769-6238 |