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Deactivated NPI 1003506007 Deactivated / Inactive NPI Female Practitioner

Elizabeth Diane Dominguez

Plastic Surgery • Omaha, NE

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Elizabeth Dominguez has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 11, 2023
NPI Deactivation Date May 27, 2025
Total Practice Duration ~2 Years of Practice (2023 – 2025)

Professional Overview & Biography Verified Profile Summary

Elizabeth Dominguez was a registered Plastic Surgery practicing in Omaha, NE. Throughout an active medical career spanning 2 years, Elizabeth Dominguez provided care at the practice location at 983270 NEBRASKA MEDICAL CENTER until profile deactivation on 2025-05-27.

Practice Location & Contact Primary Location

Practice Address

983270 Nebraska Medical Center

Omaha, NE 681983270

Telephone 4025964000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Omaha, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.6 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
18 Specialists

Practicing in Omaha, NE (26 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

Medical Specialties & State Licenses

CMS Verified: 2025-09-09
Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License NE 10263

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Kai Yang , MD

Plastic Surgery - Surgery of the Hand

NPI 1124446596

Doctor of Medicine (M.D.)

Stacey Sanders , APRN

Nurse Practitioner

NPI 1578905394

Advanced Practice Registered Nurse

NPI 1922931930

Doctor of Medicine (M.D.)

Dr. Jason Miller , MD

Plastic Surgery

NPI 1972525707

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
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Updated Practice Location September 09, 2025

Registered at 983270 NEBRASKA MEDICAL CENTER, OMAHA, NE 681983270 (Tel: 4025964000)

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Updated Business Mailing Address September 09, 2025

Registered at 983270 NEBRASKA MEDICAL CENTER, OMAHA, NE 681983270 (Tel: 4025964000)

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Provider Name / Credentials Updated September 09, 2025

Recorded as ELIZABETH DOMINGUEZ

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2025

Plastic Surgery (License #10263 in NE)

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NPI Profile Deactivated May 27, 2025

Record deactivated on May 27, 2025

NPI Profile Active May 11, 2023

NPI status registered as active in NPPES database

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Updated Practice Location May 11, 2023

Registered at 9200 W WISCONSIN AVE, WAUWATOSA, WI 532263522 (Tel: 4148050505)

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Updated Business Mailing Address May 11, 2023

Registered at 9200 W WISCONSIN AVE, WAUWATOSA, WI 532263522

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Provider Name / Credentials Updated May 11, 2023

Recorded as ELIZABETH DOMINGUEZ

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2023

Student in an Organized Health Care Education/Training Program

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Initial NPI Registration & Enumeration May 11, 2023

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: 1003506007
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2023
Last Update: September 09, 2025
Deactivation Date: May 27, 2025
Sole Proprietor: No

Mailing Address

983270 Nebraska Medical Center

Omaha, NE 681983270

Phone: 4025964000

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.