Richard James Domdera Jr. (NPI# 1891763058, PAC ID# 6800784034) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1891763058 |
PAC ID by PECOS | 6800784034 |
Professional Enrollment ID | I20040310000077 |
Full Name | Richard James Domdera Jr. |
Organization Legal Name | OHIO FAMILY PRACTICE CENTERS, INC |
Address |
3009 Smith Rd Suite 200 Fairlawn OH 44333-3766 |
Phone Number | 3308368471 |
Gender | M |
Credential | MD |
Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
Graduation Year | 1998 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 7618865940 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
360027 | AKRON GENERAL MEDICAL CENTER |
360020 | SUMMA HEALTH SYSTEM |
Address | Phone | Organization |
---|---|---|
3009 Smith Rd, Suite 200, Fairlawn, OH 44333-3766 | 3308368471 | OHIO FAMILY PRACTICE CENTERS, INC |
Organization Legal Name | OHIO FAMILY PRACTICE CENTERS, INC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kelli Sabin | Family Medicine | Ohio Family Practice Centers, Inc | 3009 Smith Rd, Suite 200, Fairlawn, OH 44333-3766 |
Street Address |
3009 SMITH RD SUITE 200 |
City | FAIRLAWN |
State | OH |
Zip | 44333-3766 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kelli Sabin | Family Medicine | Ohio Family Practice Centers, Inc | 3009 Smith Rd, Suite 200, Fairlawn, OH 44333-3766 |
Melodie A Phillips | Internal Medicine | 3009 Smith Rd, Suite 350, Fairlawn, OH 44333-2670 | |
Jennifer L Winning | Nurse Practitioner | Olympic Urogynecology, LLC | 3009 Smith Rd, Suite 400, Fairlawn, OH 44333-2670 |
Costas A Apostolis | Obstetrics/gynecology | Olympic Urogynecology, LLC | 3009 Smith Rd, Suite 400, Fairlawn, OH 44333-2670 |
Amy Skabar | Nurse Practitioner | Olympic Urogynecology, LLC | 3009 Smith Rd, Suite 400, Fairlawn, OH 44333-2670 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sarah Beth Newey | Podiatry | 3451 Granger Rd, Akron, OH 44333-1532 | |
Ian M Gradisar | Orthopedic Surgery | Crystal Clinic, Inc. | 3975 Embassy Pkwy, Suite 102, Akron, OH 44333-1763 |
John W Dietrich | Hand Surgery | Crystal Clinic, Inc. | 3925 Embassy Pkwy, Akron, OH 44333-1763 |
Mollie O Manley | Hand Surgery | Crystal Clinic, Inc. | 3925 Embassy Pkwy, Akron, OH 44333-1763 |
Brandy Mae Mansfield | Nurse Practitioner | Crystal Clinic, Inc. | 3975 Embassy Pkwy, Suite 102, Akron, OH 44333-1763 |
Kaitlyn A Wattley | Nurse Practitioner | Crystal Clinic, Inc. | 3975 Embassy Pkwy, Suite 102, Akron, OH 44333-1763 |
Kathleen Ann Opsitnick | Nurse Practitioner | Crystal Clinic, Inc. | 3975 Embassy Pkwy, Suite 102, Akron, OH 44333-1763 |
Jeffrey S Noble | Orthopedic Surgery | Crystal Clinic, Inc. | 3975 Embassy Pkwy, Suite 102, Akron, OH 44333-1763 |
Matthew D Kay | Orthopedic Surgery | Crystal Clinic, Inc. | 3975 Embassy Pkwy, Suite 102, Akron, OH 44333-1763 |
Scot D Miller | Orthopedic Surgery | Crystal Clinic, Inc. | 3925 Embassy Pkwy, Akron, OH 44333-1763 |
Find all physicians in zip 44333 |
City | FAIRLAWN |
Zip Code | 44333 |
Specialty | FAMILY MEDICINE |
City + Specialty | FAIRLAWN + FAMILY MEDICINE |
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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.