Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Anthony Joseph Domenigoni, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1124137187

Dr. Anthony Joseph Domenigoni, DPM is a Podiatry in Vancouver, Washington. Graduated from William M. Scholl College of Podiatric Medicine in 2001, 25 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
25
Trained at
William M. Scholl College of Podiatric Medicine
Licensed in
OR, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

203 SE Park Plaza Dr
Vancouver, WA 98684-5886
Phone: (360) 449-7040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence DP00353 (OR)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence PO00000777 (WA)

Record details

NPI number1124137187
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESFebruary 4, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolWILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduated 2001 (25 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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