Dominic Anthony Macedonia, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

35031012M Issued in OH

Practice address

523 North Fourth St
Steubenville, OH 43952

Phone

(740) 282-1144

Fax

(740) 282-2374

NPI assigned

Nov 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1184798167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 NORTH FOURTH ST",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "43952",
            "telephone_number": "740-282-1144",
            "fax_number": "740-282-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 NORTH FOURTH ST",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "43952",
            "telephone_number": "740-282-1144",
            "fax_number": "740-282-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACEDONIA",
        "first_name": "DOMINIC",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35031012M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "740023",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0286051",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "35031012M",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Lynch
• Lyons Home Health Care LLC
• Lytle and Associates Specialized Therapy LLC
• Lisa M Lytle, OT
• Paul Henry Macdonald, M.D.
• Patricia Mader, QMHS
• Marianne Madzia
• Christy A Magary Williams, LISW-S
• Sathish Magge, MD
• Grace Mae Magro, DO

• Vascular Surgery Physician in Steubenville, OH
• Providers in Steubenville, OH by specialty
• Vascular Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.