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

Mark Jason Dominguez, MD

Individual provider Surgery Physician · NPI 1043428170

Mark Jason Dominguez, MD is a General Surgery in Covington, Louisiana. Graduated from Louisiana State University School of Medicine in New Orleans in 2004, 22 years ago. Practices with Byrd Medical Clinic Inc, an 11-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
22
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
LA
In the registry since
2007
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

606 W 11th Ave
Covington, LA 70433-3630
Phone: (985) 892-3766
Fax: (985) 893-9567
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 200251 (LA)

Record details

NPI number1043428170
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 21, 2007
Last updated in NPPESMarch 16, 2016
Mailing addressPo Box 54482, New Orleans, LA 70154-4482

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 2004 (22 years in practice)
Group practice Byrd Medical Clinic Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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