Larissa F Dominy, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

OS-009162L Issued in PA

Practice address

409 Second Ave Ste 303
Collegeville, PA 19426-3662

Phone

(610) 409-8050

Fax

(610) 409-8075

NPI assigned

Jul 7, 2006

Sex

Female

Sole proprietor

No

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

Doctor of Osteopathy

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 and National Provider Directory roles.

• Panda Bear Pediatrics

  • Pediatrics Physician
  • Collegeville, PA
  • NPI 1497788327
  NPD (past) Authorized official

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1376575282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 SECOND AVE STE 303",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263662",
            "telephone_number": "610-409-8050",
            "fax_number": "610-409-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 SECOND AVE STE 303",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263662",
            "telephone_number": "610-409-8050",
            "fax_number": "610-409-8075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1831 Swamp Pike Ste 202",
            "address_purpose": "LOCATION",
            "city": "Gilbertsville",
            "state": "PA",
            "postal_code": "195258927",
            "country_code": "US",
            "telephone_number": "610-323-5415",
            "fax_number": "610-323-5410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMINY",
        "first_name": "LARISSA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OS-009162L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colin Dixon, MS, ATC
• Margaret M. Dixon, MS, CCC-SLP
• Doctor Office Management, Inc.
• Paul P Doghramji, MD
• Christopher C Dogonniuck, PA - C
• Michelle M Donovan, MS, RD, LDN
• Sabrina N Donovan
• Ashley Danielle Doucette
• Stephanie Downer, LPC
• Dr. Howard G. Sokol & Associates

• Pediatrics Physician in Collegeville, PA
• Providers in Collegeville, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.