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

Ethan Ross Dominguez, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1548900574

Ethan Ross Dominguez, DO is a Family Practice in Zephyrhills, Florida. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2022, 4 years ago. Practices with Ohi West Medical Group II LLC, a 409-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas and Florida.

Years since qualifying
4
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
AR, FL
In the registry since
2022
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

38135 Market Square Dr Ste 103
Zephyrhills, FL 33542-7505
Phone: (813) 815-5400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 612 S 12th St, Fort Smith, AR 72901-4702 — (479) 785-2431

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 22271 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (AR)

Record details

NPI number1548900574
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 29, 2022
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025
Mailing address38135 Market Square Dr Ste 103, Zephyrhills, FL 33542-7505

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2022 (4 years in practice)
Group practice Ohi West Medical Group Ii Llc — 409 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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