MR. RICHARD JAMES DOMDERA JR. (NPI# 1891763058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891763058 |
| Entity Type | Individual |
| Full Name | MR. RICHARD JAMES DOMDERA JR. |
| Credential | MD |
| Practice Address |
3009 Smith Rd Suite 200 Fairlawn OH 44333-2666 |
| Practice Telephone | 3308368471 |
| Mailing Telephone | 3308368471 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2012-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35077042D | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | SUMMACARE INSURANCE | 374 | 01 |
| OH | HOMETOWN INSURANCE | Q004524 | 01 |
| OH | ANTHEM INSURANCE | 000000312579 | 01 |
| OH | 2283176 | 05 | |
| OH | QUALCHOICE | 97033 | 01 |
| OH | BUCKEYE COMMUNITY INSURAN | 729920 | 01 |
| OH | RAILROAD MEDICARE | P00121516 | 01 |
| Street Address |
3009 SMITH RD SUITE 200 |
| City | FAIRLAWN |
| State | OH |
| Zip Code | 44333-2666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609016377 | Leimkuehler Inc | Prosthetic/Orthotic Supplier | 3009 Smith Rd, Suite 50, Fairlawn, OH 44333-2666 | 2009-02-20 |
| 1609802784 | Quickclinic LLC | Clinic/Center | 3009 Smith Rd, 350, Fairlawn, OH 44333-2666 | 2006-06-23 |
| 1326094608 | Akron Regional Pet Scan LLC | Radiology | 3009 Smith Rd, Suite 350, Fairlawn, OH 44333-2666 | 2006-05-26 |
| 1558321653 | Melodie Phillips | Internal Medicine | 3009 Smith Rd, Fairlawn, OH 44333-2666 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083223341 | National Vision Inc | Optometrist | 2665 West Market Street, Fairlawn, OH 44333 | 2020-07-23 |
| 1619468105 | Yellow Creek Primary Care, Inc. | Family Medicine | 3453 Granger Rd, Akron, OH 44333 | 2018-05-21 |
| 1336655984 | Laura Ann Starkey | Nurse Practitioner | 3562 Ridge Park Dr # D1, Fairlawn, OH 44333 | 2017-12-19 |
| 1952814329 | Linda Long | Behavioral Analyst | 3428 W. Market Street, Fairlawn, OH 44333 | 2017-11-08 |
| 1366967325 | Heidi Harper | Behavioral Analyst | 373 Stratford Rd., Fairlawn, OH 44333 | 2017-08-10 |
| 1215459151 | Lisa Marie Kosley | Registered Nurse | 3250 West Market, Suite 2, Fairlawn, OH 44333 | 2017-07-12 |
| 1053764530 | Lindsey Foradis | Nurse Practitioner | 3600 W Market St Ste 200, Fairlawn, OH 44333 | 2016-07-19 |
| 1922484740 | Let's Talk Quality Services, Inc. | Day Training, Developmentally Disabled Services | 462 Gresham Drive, Fairlawn, OH 44333 | 2015-08-04 |
| 1770973240 | Amelia Evans | Licensed Practical Nurse | 3040 West Market St., Interim Healthcare, Akron, OH 44333 | 2015-02-04 |
| 1770908774 | Mary Catherine Boettcher | Speech-Language Pathologist | 150 N. Miller Rd., Suite # 150 A, Akron, OH 44333 | 2014-02-27 |
| Find all providers in zip 44333 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649528902 | Peak Health & Wellness LLC. | Family Medicine | 3029 Smith Road, Suite 400, Fairlawn, OH 44333-3366 | 2012-08-16 |
| 1740393263 | Joseph Charles Armao | Family Medicine | 4055 Embassy Pkwy, Suite 110, Fairlawn, OH 44333-1781 | 2006-08-17 |
| 1326055104 | Marcie A Groesbeck | Family Medicine | 50 N Miller Rd, Fairlawn, OH 44333-3702 | 2006-08-02 |
| 1174568893 | Tri-medical LLC | Family Medicine | 7350 Peppers Ferry Blvd, Fairlawn, VA 24141-8856 | 2006-06-17 |
| 1548238454 | Kelli Ruth Sabin | Family Medicine | 130 N Miller Rd, Fairlawn, OH 44333-3766 | 2006-03-08 |
| 1710979703 | Bes of Ohio, LLC, Dba Medgroup | Family Medicine | 2640 W Market Street, Fairlawn, OH 44333-4202 | 2005-08-17 |
| 1043536113 | Cecile Jentner | Family Medicine | 50 N Miller Rd, Fairlawn, OH 44333-3702 | 2010-04-14 |
| 1366676991 | Adrienne Renata Hester | Family Medicine | 50 N Miller Rd, Fairlawn, OH 44333-3702 | 2009-05-11 |
| 1043463219 | Summa Physicians Inc | Family Medicine | 3094 W Market St, Ste. 136, Fairlawn, OH 44333-3626 | 2008-10-31 |
| 1427209659 | Summa Physician Inc | Family Medicine | 3562 Ridge Park Dr, Ste A, Fairlawn, OH 44333-9294 | 2008-10-07 |
| Find all providers in FAIRLAWN | ||||
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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.