DR. HENRY F. DOMKE M.D.
NPI 1811977572
Family Medicine in Jefferson City, MO

Active since January 19, 2006
701 W HIGH ST, JEFFERSON CITY, MO 65101(573) 634-5400(573) 636-2639 Get Directions Write a Review

NPPES record last updated: July 31, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Henry F. Domke M.d. NPPES

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

DR. HENRY F. DOMKE M.D. (NPI 1811977572) is an individual family medicine provider in Jefferson City, Missouri, licensed in Missouri (R6A79) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1811977572
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HENRY F. DOMKECredential: M.D.
Location Address701 W HIGH STJefferson City, MO 65101-1525
Mailing AddressPo Box 104240Jefferson City, MO 65110-4240 · (573) 634-5400 · Fax (573) 636-2639
Fax(573) 636-2639
Sole ProprietorNo
Enumeration DateJanuary 19, 2006
Last NPPES UpdateJuly 31, 2008
NPI 1811977572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MO · R6A79
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
701 W HIGH ST, Jefferson City, MO 65101

Other Identifiers 3

Medicaid201319514MO
Medicare ID-Type Unspecified004012662MO
Medicare UPINA11114

Other Providers at the Same Location NPPES 10

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

Family Medicine
701 W HIGH ST
JEFFERSON CITY, MO 65101
Counselor (Professional)
701 W HIGH ST
JEFFERSON CITY, MO 65101
Counselor (Professional)
701 W HIGH ST
JEFFERSON CITY, MO 65101
Family Medicine
701 W HIGH ST
JEFFERSON CITY, MO 65101
Counselor (Professional)
701 W HIGH ST
JEFFERSON CITY, MO 65101
Nurse Practitioner (Family)
701 W HIGH ST
JEFFERSON CITY, MO 65101
Psychologist
701 W HIGH ST
JEFFERSON CITY, MO 65101
Nurse Practitioner
701 W HIGH ST
JEFFERSON CITY, MO 65101

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 Henry Domke's NPI number?

The NPI number for Henry Domke is 1811977572. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Henry Domke located?

Henry Domke practices at 701 W High St, Jefferson City, MO 65101. The listed phone number is (573) 634-5400.

What is Henry Domke's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Henry Domke was last updated on July 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.