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Active NPI 1215516752 Individual Practitioner Male Practitioner

Dr. E.l. Domingo-Johnson , MD

General Practice • Chesterfield, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. E.L. Domingo-Johnson, MD is a certified General Practice practicing in Chesterfield, MO. With approximately 5 years of clinical experience since graduating from Texas Tech University Health Science Center School Of Medicine in 2021, Dr. Domingo-Johnson delivers high-quality medical care to the local community at 100 CHESTERFIELD BUSINESS PKWY FL 2.

Dr. Domingo-Johnson is affiliated with Vohra Wound Physicians Of Fl Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

100 Chesterfield Business Pkwy Fl 2

Chesterfield, MO 630051271

Telephone 9543994673
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Texas Tech University Health Science Center School Of Medicine

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Chesterfield, MO

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -1.5 yrs vs City Avg
City Avg: 6.5 Yrs
State Avg: 29.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Chesterfield, MO (221 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Domingo-Johnson (5 Years) 5 Yrs
Chesterfield Specialty Average (6.5 Years) 6.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-12-26
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License MO 2024043640

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Vohra Wound Physicians Of Fl Llc

1317 N 36th St, Saint Joseph, MO 645062359

Phone: 8166761630

Vohra Wound Physicians Of Fl Llc

1024 Adams St, Jefferson City, MO 651013408

Phone: 5736351320

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1043417496

Doctor of Medicine (M.D.)

NPI 1053765685

Doctor of Medicine (M.D.)

NPI 1063946374

Doctor of Medicine (M.D.)

NPI 1073545596

Doctor of Medicine (M.D.)

NPI 1073718029

Doctor of Osteopathic Medicine (D.O.)

Dr. Erin Jeffers , DO

Family Medicine

NPI 1073753141

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location December 26, 2024

Registered at 100 CHESTERFIELD BUSINESS PKWY FL 2, CHESTERFIELD, MO 630051271 (Tel: 9543994673)

📍
Updated Business Mailing Address December 26, 2024

Registered at 3601 SW 160TH AVE STE 250, MIRAMAR, FL 330276314 (Tel: 9543994673)

NPI Profile Active April 02, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 02, 2021

Registered at 2411 HOLMES ST # M2-302, KANSAS CITY, MO 641082741 (Tel: 8162356627)

📍
Updated Business Mailing Address April 02, 2021

Registered at 2411 HOLMES ST # M2-302, KANSAS CITY, MO 641082741 (Tel: 8162356627)

👤
Provider Name / Credentials Updated April 02, 2021

Recorded as E.L. DOMINGO-JOHNSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 02, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215516752
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2021
Last Update: December 26, 2024
Sole Proprietor: No

Mailing Address

3601 Sw 160th Ave Ste 250

Miramar, FL 330276314

Phone: 9543994673

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.