Tim D Dominick (NPI# 1033536354, PAC ID# 0244568848) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1033536354 |
| PAC ID by PECOS | 0244568848 |
| Professional Enrollment ID | I20190820004083 |
| Full Name | Tim D Dominick |
| Organization Legal Name | ORTHOVIRGINIA, INC. |
| Address |
1115 Boulders Pkwy North Chesterfield VA 23225-4067 |
| Gender | M |
| Medical School | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0547157224 |
| Number of Group Practice Members | 371 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490112 | CJW MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1115 Boulders Pkwy, North Chesterfield, VA 23225-4067 | ORTHOVIRGINIA, INC. | |
| 1400 Johnston Willis Dr, North Chesterfield, VA 23235-4765 | 8045944610 | ORTHOVIRGINIA, INC. |
| 8901 Three Chopt Rd, Suite D, Richmond, VA 23229-4643 | 8044404878 | ORTHOVIRGINIA, INC. |
| Organization Legal Name | ORTHOVIRGINIA, INC. |
| Physicians | 365 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wayne Alan Chen | Hand Surgery | Orthovirginia, Inc. | 1849 Old Donation Pkwy, Virginia Beach, VA 23454-3004 |
| Jeffrey Needy | Nurse Practitioner | Orthovirginia, Inc. | 8901 Three Chopt Rd, Suite D, Richmond, VA 23229-4643 |
| William Patrick Petersen | Orthopedic Surgery | Orthovirginia, Inc. | 1635 N George Mason Dr, Suite 310, Arlington, VA 22205-3616 |
| Barbara Liesbeth Cook | Occupational Therapy | Orthovirginia, Inc. | 5899 Bremo Rd, Suite 100, Richmond, VA 23226-1935 |
| Hannah Chisholm | Physical Therapy | Orthovirginia, Inc. | 1400 Johnston Willis Dr, North Chesterfield, VA 23235-4765 |
| Marilyn Lepage | Physical Therapy | Orthovirginia, Inc. | 13350 Franklin Farm Rd, Suite 300, Herndon, VA 20171-4095 |
| Chelsea M Kemlage | Physical Therapy | Orthovirginia, Inc. | 6355 Walker Lane, Suite 204, Alexandria, VA 22310-3257 |
| Robert A Lehner | Physical Therapy | Orthovirginia, Inc. | 4710 Puddledock Rd, Suite 100, Prince George, VA 23875-1237 |
| Julia M Saddington | Physician Assistant | Orthovirginia, Inc. | 15564 Westchester Commons Way, Midlothian, VA 23113-7321 |
| John Robert Prahinski | Orthopedic Surgery | Orthovirginia, Inc. | 2405 Atherholt Rd, Lynchburg, VA 24501-2184 |
| Street Address |
1115 BOULDERS PKWY |
| City | NORTH CHESTERFIELD |
| State | VA |
| Zip | 23225-4067 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Scott Baldwin | Physician Assistant | Orthovirginia, Inc. | 1115 Boulders Pkwy, North Chesterfield, VA 23225-4067 |
| David D Nedeff | Orthopedic Surgery | Orthovirginia, Inc. | 1115 Boulders Pkwy, Suite 100, North Chesterfield, VA 23225-4067 |
| Adam W Cristman | Physician Assistant | Orthovirginia, Inc. | 1115 Boulders Pkwy, North Chesterfield, VA 23225-4067 |
| Charles J Bradshaw | Physician Assistant | Orthovirginia, Inc. | 1115 Boulders Pkwy, North Chesterfield, VA 23225-4067 |
| Nicole D Payette | Physician Assistant | Orthovirginia, Inc. | 1115 Boulders Pkwy, North Chesterfield, VA 23225-4067 |
| Sarah Simoff | Physical Therapy | Orthovirginia, Inc. | 1115 Boulders Pkwy, North Chesterfield, VA 23225-4067 |
| Matthew A Muri | Physician Assistant | Orthovirginia, Inc. | 1115 Boulders Pkwy, North Chesterfield, VA 23225-4067 |
| Chase William Grinnell | Physical Therapy | Orthovirginia, Inc. | 1115 Boulders Pkwy, North Chesterfield, VA 23225-4067 |
| Courtney Marie Hott | Physical Therapy | Orthovirginia, Inc. | 1115 Boulders Pkwy, North Chesterfield, VA 23225-4067 |
| David W Miller | Orthopedic Surgery | Orthovirginia, Inc. | 1115 Boulders Pkwy, Suite 100, North Chesterfield, VA 23225-4067 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janine Louise Thekkekandam | Anesthesiology | Commonwealth Anesthesia Associates, P.C. | 7101 Johnke Rd, Richmond, VA 23225 |
| Amy L Mullenix | Certified Registered Nurse Anesthetist (crna) | Commonwealth Anesthesia Associates, P.C. | 7101 Johnke Rd, Richmond, VA 23225 |
| Mark Stoltzfus | Anesthesiology | Commonwealth Anesthesia Associates, P.C. | 7101 Johnke Rd, Richmond, VA 23225 |
| Matthew D Goins | Anesthesiology | Commonwealth Anesthesia Associates, P.C. | 7101 Johnke Rd, Richmond, VA 23225 |
| Maritza Gallegos | Certified Registered Nurse Anesthetist (crna) | Commonwealth Anesthesia Associates, P.C. | 7101 Johnke Rd, Richmond, VA 23225 |
| Lori A Kincaid | Certified Registered Nurse Anesthetist (crna) | Commonwealth Anesthesia Associates, P.C. | 7101 Johnke Rd, Richmond, VA 23225 |
| Tracie George | Certified Registered Nurse Anesthetist (crna) | Commonwealth Anesthesia Associates, P.C. | 7101 Johnke Rd, Richmond, VA 23225 |
| Amy L Simon | Certified Registered Nurse Anesthetist (crna) | Commonwealth Anesthesia Associates, P.C. | 7101 Johnke Rd, Richmond, VA 23225 |
| Jason Carpenter | Certified Registered Nurse Anesthetist (crna) | Commonwealth Anesthesia Associates, P.C. | 7101 Johnke Rd, Richmond, VA 23225 |
| Amber L Stein | Anesthesiology | Commonwealth Anesthesia Associates, P.C. | 7101 Johnke Rd, Richmond, VA 23225 |
| Find all physicians in zip 23225 | |||
| City | NORTH CHESTERFIELD |
| Zip Code | 23225 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | NORTH CHESTERFIELD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Tim D Dominick.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.