Gary Cramer Domanick, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

991 Issued in OH

Practice address

4028 Broadview Rd
Richfield, OH 44286-9501

Phone

(330) 659-4955

Fax

(330) 659-6052

NPI assigned

Jan 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1982

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richfield Chiropractic Center LLC

  • Sports Physician Chiropractor
  • Richfield, OH
  • NPI 1386002889
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336285188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4028 BROADVIEW RD",
            "city": "RICHFIELD",
            "state": "OH",
            "postal_code": "442869501",
            "telephone_number": "330-659-4955",
            "fax_number": "330-659-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4028 BROADVIEW RD",
            "city": "RICHFIELD",
            "state": "OH",
            "postal_code": "442869501",
            "telephone_number": "330-659-4955",
            "fax_number": "330-659-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMANICK",
        "first_name": "GARY",
        "middle_name": "CRAMER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OH",
            "license": "991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DO 0542474",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin C. Clemens, DDS, MS
• Amy Coleman
• Ashlee Cummings, RN
• Veronica Maranan Deleon
• Coleen Marie Demas, ODS
• Christine Easton
• Christi Eberhardt, BCBA
• Genesis Health Care
• Good Sense Home Healthcare LLC
• Ryan James Graber, ATC

• Sports Physician Chiropractor in Richfield, OH
• Providers in Richfield, OH by specialty
• Sports Physician Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.