Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. E.l. Domingo-Johnson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1215516752

Dr. E.l. Domingo-Johnson, MD is a General Practice in Chesterfield, Missouri. Graduated from Texas Tech University Health Science Center School of Medicine in 2021, 5 years ago. Practices with Vohra Wound Physicians of Fl LLC, a 73-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
5
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
MO
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 Chesterfield Business Pkwy Fl 2
Chesterfield, MO 63005-1271
Phone: (954) 399-4673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 2024043640 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1215516752
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2021
Last updated in NPPESDecember 26, 2024
Certification dateDecember 26, 2024
Mailing address3601 Sw 160th Ave Ste 250, Miramar, FL 33027-6314

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Vohra Wound Physicians Of Fl Llc — 73 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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