Organization Active NPI

Albert T. Domingo Ms MD Inc

  • Specialist
  • Canton, OH
National Provider Identifier
1164582631
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
49267 Issued in OH
Legal business name
ALBERT T. DOMINGO MS MD INC
Practice address
3120 Parkway St NW
Suite a
Canton, OH 44708-3981
Phone
(330) 452-9460
Fax
(330) 452-9520
NPI assigned
Dec 12, 2006
Last updated
Oct 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Albert T. Domingo, MD
Title
President
Phone
(330) 452-9460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 49267 OH Primary

Addresses

Primary practice location

3120 Parkway St NW
Suite a
Canton, OH 44708-3981

Mailing address

3120 Parkway St NW
Suite a
Canton, OH 44708-3981
Phone (330) 452-9460

National Provider Directory

National Provider Directory

Locations

128 Wertz Ave NW
Ste B
Canton, OH 44708
Phone (330) 452-9460

3120 Parkway St NW
Ste A
Canton, OH 44708
Phone (330) 452-9460

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1164582631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 PARKWAY ST NW",
            "address_2": "SUITE A",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447083981",
            "telephone_number": "330-452-9460",
            "fax_number": "330-452-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 PARKWAY ST NW",
            "address_2": "SUITE A",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447083981",
            "telephone_number": "330-452-9460",
            "fax_number": "330-452-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT T. DOMINGO MS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "DOMINGO",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-452-9460",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "49267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.