Timothy P Domer in East Liverpool - Orthopaedic Surgery
Timothy P Domer - NPI 1417918111
Timothy P Domer is a Orthopaedic Surgery in East Liverpool, Ohio. Timothy P Domer practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Timothy P Domer is 1417918111. The last update date is 2011-10-18.
Timothy P Domer's current location address is 16687 Saint Clair Ave, East Liverpool, Ohio. You can contact this provider via phone number 3303854610 and fax number 3303854620. The mailing address for Timothy P Domer is 16687 Saint Clair Ave, East Liverpool, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy P Domer |
|---|---|
| Address | 16687 Saint Clair Ave, East Liverpool, Ohio |
| Phone Number | 3303854610 |
| Fax Number | 3303854620 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1417918111 |
|---|---|
| Provider Enumeration Date | 2006-03-31 |
| Last Updated Date | 2011-10-18 |
Provider Mailing Address Detail
| Address | 16687 Saint Clair Ave |
|---|---|
| City | East Liverpool |
| State | Ohio (OH) |
| Post Code | 439209401 |
| Phone Number | 3303854610 |
| Fax Number | 3303854620 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
| Licence No | 34005918D |
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Definition: 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 car |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2000798000 | WV | -- | |
| 2069998 | OH | -- |
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What is the unique 10-digit identification code assigned to Timothy P Domer by the Centers for Medicare & Medicaid Services?
The Timothy P Domer has been issued the NPI (National Provider Identifier) 1417918111, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Timothy P Domer located?
The Timothy P Domer is located at 16687 Saint Clair Ave, East Liverpool, OH 439209401.
What is the Timothy P Domer's area of specialization and corresponding taxonomy classification?
The Timothy P Domer's specialty field is Orthopaedic Surgery, and it falls under the taxonomy code 207X00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1417918111 to Timothy P Domer?
The Timothy P Domer received its 1417918111 assignment from the Centers for Medicare & Medicaid Services on 2006-03-31.
As of what date were the Timothy P Domer's details last updated?
The information pertaining to the Timothy P Domer, including its address, specialty, and other details, was most recently updated on 2011-10-18.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY