# DOMINGO G JAVIER MD INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588755813
- **Authorized official:** MR. DOMINGO GONZALES JAVIER MD (MD)
- **Authorized official phone:** (304) 325-5755

## Contact information

- **Practice address:** 1701 JEFFERSON ST, BLUEFIELD, WV 24701-1701
- **Practice address phone:** (304) 325-5755
- **Practice address fax:** (304) 323-1639
- **Mailing address:** 1701 JEFFERSON ST, BLUEFIELD, WV 24701-1701
- **Mailing address phone:** (304) 325-5755
- **Mailing address fax:** (304) 323-1639

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0127512000 | — | WV |
| 01 | — | 0472131 | UMWA-FUNDS | — |
| 01 | — | 062480 | B/C/ANTHEM | VA |
| 01 | — | 1022384 | WORKERS COMP | WV |
| 01 | — | 4454937 | AETNA | — |
| 01 | — | 7350431 | VA MED ASSIS | VA |
| 01 | — | 851 945 | MAMSI | — |
| 01 | — | V000267 | BLACK LUNG | — |