Individual
DR. JEFFREY S DOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 MICHIGAN AVE NW, CHILDREN'S NATIONAL MEDICAL CENTER, WASHINGTON, DC 20010-2916
(202) 476-2800
(202) 476-5685
Mailing address
PO BOX 37215, BALTIMORE, MD 21297-3215
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MD036384
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119084
—
MS
05
—
0030431
—
NJ
05
—
009912830
—
AL
05
—
010017688
—
VA
05
—
0527630
—
IA
05
—
060474601
—
TX
05
—
104788409
—
MI
05
—
1135554 00
—
WY
05
—
133502001
—
AR
05
—
1548669
—
LA
05
—
2045058
—
OH
05
—
205027006
—
MO
05
—
3821464
—
TN
05
—
422400000
—
ME
05
—
64928674
—
KY
05
—
7612398
—
NC
05
—
804006
—
AZ
01
—
F94483
UPIN
TN
Enumeration date
05/23/2005
Last updated
10/29/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us