Dr. Daniel Domjan, MD
Dr. Daniel Domjan is a General Practice Physician provider (General Practice) practicing in Sikeston, MO, registered in the NPPES registry with NPI 1235119215 since 2006. The credential MD stands for Doctor of Medicine. Practices at Southeast Missouri Health Network (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1235119215 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Daniel Domjan |
| Credential | MD |
| Sex | Male |
| Practice address | 200 SOUTHLAND DR, Sikeston, MO, 63801 |
| Phone | 5734721770 |
| Fax | 5734724050 |
| Enumeration date | 2006-01-18 |
| Last updated in NPPES | 2020-03-12 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 171100000X | Acupuncturist | Secondary | 118085 | MO |
| 208D00000X | General Practice Physician | Primary | 118085 | MO |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204706030 | Medicaid | MO | — |
Copy-ready billing details
Provider: Daniel Domjan, MD NPI: 1235119215 Taxonomy: 208D00000X (General Practice Physician) Address: 200 SOUTHLAND DR, Sikeston, MO, 63801
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1649375940 | William Bradley | Individual | Family Nurse Practitioner | Sikeston, MO |
| 1104045475 | Southeast Missouri Health Network | Organization | Federally Qualified Health Center (FQHC) | Sikeston, MO |
| 1033551429 | Danielle Jansen | Individual | Family Nurse Practitioner | Sikeston, MO |
| 1447798020 | Alexandra Tomaszewski | Individual | Clinical Social Worker | Sikeston, MO |
| 1053973081 | Heather Polk | Individual | Primary Care Nurse Practitioner | Sikeston, MO |
| 1760173421 | Samantha Duffel | Individual | Clinical Social Worker | Sikeston, MO |
Verify this record
Cross-check NPI 1235119215 against the authoritative CMS record: view Dr. Daniel Domjan on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-03-12.