DR. TIMOTHY P DOMER (NPI# 1417918111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417918111 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY P DOMER |
| Credential | D.O. |
| Practice Address |
16687 Saint Clair Ave Suite 101 East Liverpool OH 43920-9401 |
| Practice Telephone | 3303854610 |
| Practice Fax Number | 3303854620 |
| Mailing Telephone | 3303854610 |
| Mailing Fax Number | 3303854620 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2011-10-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 34005918D | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 2000798000 | 05 | |
| OH | 2069998 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942389770 | Timothy Domer | Internal Medicine | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2006-11-03 |
| Street Address |
16687 SAINT CLAIR AVE SUITE 101 |
| City | EAST LIVERPOOL |
| State | OH |
| Zip Code | 43920-9401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184608960 | Shashi R Narang | Pediatrics | 16687 Saint Clair Ave, Suite 202, East Liverpool, OH 43920-9401 | 2005-12-05 |
| 1669837175 | Second Chances Cm, LLC | Clinic/Center | 16687 Saint Clair Ave, Suite 202, East Liverpool, OH 43920-9401 | 2015-12-28 |
| 1952594111 | Concordia Visiting Nurses | Home Health | 16687 Saint Clair Ave, Suite 202, East Liverpool, OH 43920-9401 | 2007-08-21 |
| 1801946884 | Timothy P. Domer Do,inc | Orthopaedic Surgery | 16687 Saint Clair Ave, Suite 101, East Liverpool, OH 43920-9401 | 2007-01-11 |
| 1609941392 | Berislav Spahija,m.d., Inc. | Physical Medicine & Rehabilitation | 16687 Saint Clair Ave, Suite 201, East Liverpool, OH 43920-9401 | 2006-11-21 |
| 1346353026 | Community Action Agency of Columbiana County, Inc | Clinic/Center | 16687 Saint Clair Ave, Suite 203, East Liverpool, OH 43920-9401 | 2006-08-16 |
| 1427069715 | Ghazanfar Ahmed | Family Medicine | 16687 Saint Clair Ave, Suite 203, East Liverpool, OH 43920-9401 | 2006-08-11 |
| 1629006531 | Jack C Amato | Obstetrics & Gynecology | 16687 Saint Clair Ave, Suite 203, East Liverpool, OH 43920-9401 | 2006-06-29 |
| 1427002161 | Community Action Agency of Columbiana County Inc | Clinic/Center | 16687 Saint Clair Ave, Suite 203, East Liverpool, OH 43920-9401 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992321228 | Mary Matta | Podiatrist | 425 West Fith Street, East Liverpool, OH 43920 | 2020-06-23 |
| 1538795893 | Kaley M Davis | Occupational Therapist | 15655 Oh-170, East Liverpool, OH 43920 | 2020-03-19 |
| 1851890842 | Psycare Inc | Community/Behavioral Health | 15303 State Rout 170, East Liverpool, OH 43920 | 2018-02-06 |
| 1447760004 | Sarah Eileen Malcomson | Nurse Practitioner | 304 W 5th St, East Liverpool, OH 43920 | 2017-10-09 |
| 1427411438 | Help Hotline Crisis Center, Inc. | Community/Behavioral Health | 509 Market Street, East Liverpool, OH 43920 | 2016-03-29 |
| 1467848960 | Lorraine Barnard | Physical Therapy Assistant | 500 Self Ridge Street, Nentwick Convalescent Home, East Liverpool, OH 43920 | 2015-04-10 |
| 1891129441 | Jamie Jo Boyle | Nurse Practitioner | 425 West 5th Street, East Liverpool, OH 43920 | 2013-08-29 |
| 1275872038 | Tri-state Pediatric Associates, Inc | Pediatrics | 15700 State Street, Route 170, Calcutta, OH 43920 | 2013-02-13 |
| 1083953798 | Jill C Hendrickson | Psychologist | 416 Jackson Street, East Liverpool, OH 43920 | 2013-02-01 |
| 1104163468 | Laura Jane Plum | Occupational Therapy Assistant | 15675 Maple Drive, East Liverpool, OH 43920 | 2013-01-07 |
| Find all providers in zip 43920 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265727655 | Association of Specialty Physicians, Inc. | Orthopaedic Surgery | 48462 Bell School Rd, East Liverpool, OH 43920-9625 | 2011-06-14 |
| 1104025451 | Henry J. Parcinski Do,facos,llc | Orthopaedic Surgery | 425 W 5th St, East Liverpool, OH 43920-2405 | 2007-07-17 |
| 1801946884 | Timothy P. Domer Do,inc | Orthopaedic Surgery | 16687 Saint Clair Ave, Suite 101, East Liverpool, OH 43920-9401 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457966327 | Crystal Clinic, Inc. | Orthopaedic Surgery | 2383 S Main St Ste D106, Coventry Township, OH 44319-1190 | 2020-09-09 |
| 1306468418 | Mercy Health Physicians North Specialty Care LLC | Orthopaedic Surgery | 2200 Jefferson Ave Fl 4, Toledo, OH 43604-7102 | 2020-05-12 |
| 1841756632 | Ortholive Medical Group | Orthopaedic Surgery | 1311 Vine St, Cincinnati, OH 45202-7118 | 2019-02-16 |
| 1487134581 | Orthopedic One, Inc. | Orthopaedic Surgery | 5500 N. Meadows Drive, Grove City, OH 43123 | 2018-08-17 |
| 1659851921 | Orthopaedic Associates, Inc | Orthopaedic Surgery | 32800 Lorain Rd # 1100, N Ridgeville, OH 44039-3430 | 2018-08-16 |
| 1841788593 | Yirka Vacca | Orthopaedic Surgery | Cleveland Clinic 9500 Euclid Avenue A-40, Cleveland, OH 44195 | 2018-04-27 |
| 1609387984 | Orthopedic Associates of S W Ohio Inc | Orthopaedic Surgery | 3535 Pentagon Blvd Ste 300, Beavercreek, OH 45431-1705 | 2017-10-13 |
| 1689183683 | Orthopedic Associates of S W Ohio, Inc. | Orthopaedic Surgery | 7117 Dutchland Pkwy, Liberty Township, OH 45044-9096 | 2017-09-22 |
| 1760914451 | Morad Chughtai | Orthopaedic Surgery | 10001 Chester Ave, Apt 520, Cleveland, OH 44106-1617 | 2017-03-31 |
| 1306382262 | Zanesville Xpress Ortho Care, LLC | Orthopaedic Surgery | 3089 Maple Ave, Zanesville, OH 43701-1408 | 2017-01-16 |
| Find all providers with the same taxonomy | ||||
| City | EAST LIVERPOOL |
| Zip Code | 43920 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.