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DOUGLASS T. DOMOTO, M.D., J.D., P.C.
NPI 1124337373
Internal Medicine - Nephrology in Saint Louis, MO

Active since October 05, 2010
2606 CLARK AVE, AVE, SAINT LOUIS, MO 63103(314) 535-3720(314) 535-7391 Get Directions Write a Review

NPPES record last updated: October 5, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Douglass T. Domoto, M.d., J.d., P.c. NPPES

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

DOUGLASS T. DOMOTO, M.D., J.D., P.C. (NPI 1124337373) is a healthcare organization registered as a nephrology in Saint Louis, Missouri and active in the NPI registry since October 2010. The organization lists Douglass Takashi Domoto, President, as its authorized official.

NPPES Registry Identity

NPI1124337373
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameDOUGLASS T. DOMOTO, M.D., J.D., P.C.
Location Address2606 CLARK AVE, AVESaint Louis, MO 63103-2502
Mailing Address2606 Clark AveSaint Louis, MO 63103-2502 · (314) 535-3720 · Fax (314) 535-7391
Phone(314) 535-3720
Fax(314) 535-7391
Organization SubpartNo
Authorized OfficialDouglass Takashi DomotoPresident · (314) 535-3720
Enumeration DateOctober 5, 2010
✔ NPI 1124337373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in MO · R6C21
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
2606 CLARK AVE, Saint Louis, MO 63103
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Other Identifiers 1

Medicare UPINA10340MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. DOUGLASS TAKASHI DOMOTO M.D., J.D.
Internal Medicine (Nephrology)
2606 CLARK AVE
SAINT LOUIS, MO 63103
St. Louis City (314) 535-3720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglass T. Domoto, M.D., J.D., P.C.'s NPI number?

The NPI number for Douglass T. Domoto, M.D., J.D., P.C. is 1124337373. It was assigned to this organization in the NPPES registry on October 5, 2010.

Where is Douglass T. Domoto, M.D., J.D., P.C. located?

Douglass T. Domoto, M.D., J.D., P.C. is located at 2606 Clark Ave Ave, Saint Louis, MO 63103. The listed phone number is (314) 535-3720.

What is Douglass T. Domoto, M.D., J.D., P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Douglass T. Domoto, M.D., J.D., P.C. was last updated on October 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.