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Contact Information

MICHAEL A DOMET, MD
40 N GRAND AVE
SUITE 101
FORT THOMAS, KY41075-4107
 Phone: 859-781-4900
 Fax: 859-572-3044
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Otolaryngic Allergy

207YX0602X 04 Physician/Otolaryngology
 

Otology & Neurotology

207YX0901X 04 Physician/Otolaryngology
 

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for MICHAEL A DOMET · (Male)

NPI Number 1134206881
Status Active
Credentials MD
Entity Individual
Enumeration date 11/01/2006
Last updated 05/01/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 39335
  • IN Medicaid 100015770
  • IN Medicaid 200512280
  • KY Medicaid 64105901
  • KY Medicaid 65917965
  • OH Medicaid 2556541
  • OH Medicaid 701342
  • Other 7708656 AETNA
  • Other 000000360827 ANTHEM
  • Other 1001418 UNITED HEALTHCARE
  • IN Other 1060353 IN MEDICAL LICENSE
  • KY Other 39335 KY MEDICAL LICENSE
  • OH Other 35086041 OH MEDICAL LICENSE
Hospital affiliation(s)
  • ST ELIZABETH FLORENCE - (Acute Care)
    4900 HOUSTON ROAD
    FLORENCE, KY 41042
  • ST ELIZABETH FT THOMAS - (Acute Care)
    85 NORTH GRAND AVENUE
    FORT THOMAS, KY 41075
  • ST ELIZABETH MEDICAL CENTER NORTH - (Acute Care)
    1 MEDICAL VILLAGE DRIVE
    LAKESIDE PARK, KY 41017
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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