Susan M Domon, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

013898 Issued in NY

Practice address

1 John James Audubon Pkwy
Amherst, NY 14228-1145

Phone

(716) 204-4500

NPI assigned

Mar 4, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wellnow Urgent Care, PC

  • Urgent Care Clinic/Center
  • Liverpool, NY
  • NPI 1669825162
  Medicare reassignment Care Compare group
• University Orthopaedic Services, Inc

  • Orthopaedic Surgery Physician
  • Cheektowaga, NY
  • NPI 1578599866
  Medicare reassignment NPD
• Buffalo Emergency Associates LLP

  • Emergency Medicine Physician
  • Williamsville, NY
  • NPI 1508816521
  Medicare reassignment
• University Orthopaedic Services Inc.

  • Orthopaedic Surgery Physician
  • Amherst, NY
  • NPI 1528209962
  NPD
• Western New York Immediate Medical Care LLC

  • Emergency Medicine Physician
  • Orchard Park, NY
  • NPI 1427224625
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1003139007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SEGSBURY RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213407",
            "telephone_number": "585-507-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JOHN JAMES AUDUBON PKWY",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142281145",
            "telephone_number": "716-204-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMON",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-04",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "013898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Doermer, MS, ED, SAS
• Steve Banaria Dofitas, M.D.
• Dawn M Dolan, RPA-C
• Daniel James Dommell
• Frank Joseph Domnisch, PA
• Adam Domroes, MS, ATC, OTC, CSCS
• Mark T Donahue, DDS
• Donald J. Brown, PT, DPT, PLLC
• Audra M Donlon
• Kathleen M Donovan-Antalek, DO

• Physician Assistant in Amherst, NY
• Providers in Amherst, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.