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Contact Information

JEFFREY S DOME, MD
111 MICHIGAN AVE NW
CHILDREN'S NATIONAL MEDICAL CENTER
WASHINGTON, DC20010-2916
 Phone: 202-476-2800
 Fax: 202-476-5685
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Hematology-Oncology

2080P0207X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JEFFREY S DOME · (Male)

NPI Number 1902809197
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2005
Last updated 10/29/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • DC License # MD036384
  • AL Medicaid 009912830
  • AR Medicaid 133502001
  • AZ Medicaid 804006
  • IA Medicaid 0527630
  • KY Medicaid 64928674
  • LA Medicaid 1548669
  • ME Medicaid 422400000
  • MI Medicaid 104788409
  • MO Medicaid 205027006
  • MS Medicaid 00119084
  • NC Medicaid 7612398
  • NJ Medicaid 0030431
  • OH Medicaid 2045058
  • TN Medicaid 3821464
  • TX Medicaid 060474601
  • VA Medicaid 010017688
  • WY Medicaid 1135554 00
  • TN Other F94483 UPIN
Hospital affiliation(s) Not Available
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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