DR. JOHANNA KANERVA DOMER M.D.
NPI 1093089187
Pediatrics in Houston, TX

Q: What is Johanna Domer's NPI number?

The NPI number for Johanna Domer is 1093089187. It was assigned to this individual provider in the NPPES registry on March 7, 2012.

Q: What is Johanna Domer's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Johanna Domer was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 07, 2012

6621 FANNIN ST, HOUSTON, TX 77030(832) 824-1000 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Johanna Kanerva Domer M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHANNA KANERVA DOMER M.D. (NPI 1093089187) is an individual pediatrics provider in Houston, Texas, licensed in Texas (U6945) and active in the NPI registry since March 2012. She maintains a secondary practice location in Scottsdale.

NPPES Registry Identity

NPI1093089187

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. JOHANNA KANERVA DOMERCredential: M.D.

Location Address6621 FANNIN STHouston, TX 77030-2358

Mailing Address4848 E Cactus Rd, Suite 940Scottsdale, AZ 85254-4163 · (480) 443-0050

Phone(832) 824-1000

Sole ProprietorNo

Enumeration DateMarch 7, 2012

Last NPPES UpdateJuly 25, 2024

NPPES CertifiedJuly 25, 2024

✔ NPI 1093089187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in TX · U6945✔ Licensed in AZ · 29475

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

6621 FANNIN ST, Houston, TX 77030

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Secondary Practice Location 1

Location 14848 E Cactus Rd, Suite 940Scottsdale, AZ 85254-4163 · Phone (480) 443-0050

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TAKETO BABA M.D.

Pediatrics (Pediatric Emergency Medicine)