Ronald Steven Domeracki, B.S.

Primary specialty

SpecialistTaxonomy code 174400000X

License

OC006046L Issued in PA

Practice address

3075 Ridge Pike
Eagleville, PA 19403

Phone

(610) 265-4700

Fax

(610) 265-3439

NPI assigned

Jun 4, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

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.

• Arc Advocacy Services

  • Case Management Agency
  • Eagleville, PA
  • NPI 1164734455
  NPD (past)
• The Arc Alliance Children Services

  • Speech-Language Pathologist
  • Eagleville, PA
  • NPI 1306975826
  NPD (past)

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356543185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 WEIDNER CT",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189516002",
            "telephone_number": "215-536-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 RIDGE PIKE",
            "city": "EAGLEVILLE",
            "state": "PA",
            "postal_code": "19403",
            "telephone_number": "610-265-4700",
            "fax_number": "610-265-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMERACKI",
        "first_name": "RONALD",
        "middle_name": "STEVEN",
        "credential": "B.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "OC006046L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Beth Derrick, M.S.O.T.
• Ashley Diienno, DPT
• Debra Jane Dill
• Sharlee Dischert
• DME Solutions, Inc.
• Naomi Colleen Duncan, B.A., M.H.S.
• Carey Hildreth Dunn, MS, OTR/L
• Eagleville Hospital (Eagleville Medical Associates)
• Eagleville Hospital (Eagleville Psychiatric Associates)
• Eagleville Hospital

• Specialist in Eagleville, PA
• Providers in Eagleville, PA by specialty
• Specialist in Pennsylvania

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.