Organization Active NPI

John Domit Surgical Associates PC

  • Surgery Physician
  • Mt Pleasant, PA
National Provider Identifier
1174590194
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD040684L Issued in PA
Legal business name
JOHN DOMIT SURGICAL ASSOCIATES PC
Practice address
220 Bessemer Rd
Suite 202
Mt Pleasant, PA 15666-9122
Phone
(724) 547-8020
Fax
(724) 547-4233
NPI assigned
Mar 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Dr. John Domit, M.D
Title
President
Phone
(724) 547-8020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MD040684L PA Primary

Addresses

Primary practice location

220 Bessemer Rd
Suite 202
Mt Pleasant, PA 15666-9122

Mailing address

220 Bessemer Rd
Suite 202
Mt Pleasant, PA 15666-9122
Phone (724) 547-8020

Other identifiers 1

IdentifierTypeStateIssuer
0017472980002MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1174590194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 BESSEMER RD",
            "address_2": "SUITE 202",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156669122",
            "telephone_number": "724-547-8020",
            "fax_number": "724-547-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 BESSEMER RD",
            "address_2": "SUITE 202",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156669122",
            "telephone_number": "724-547-8020",
            "fax_number": "724-547-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN DOMIT SURGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "DOMIT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-547-8020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD040684L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017472980002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.