Active NPI
John Domit, M.D.
- Surgery Physician
- Greensburg, PA
National Provider Identifier
1427026111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD040684L
- Practice address
- 532 W Pittsburgh St
Greensburg, PA 15601-2239 - Phone
- (724) 832-4450
- Fax
- (724) 830-6669
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD040684L | PA | Primary |
Addresses
Primary practice location
532 W Pittsburgh St
Greensburg, PA 15601-2239
Mailing address
520 Jefferson Ave
Suite 400
Jeannette, PA 15644-2538
Phone (724) 527-8060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012375430003 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD040684L | PA | MD | Surgery Physician |
Interoperability endpoints
- jdomit@direct.excelahealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484784000000",
"number": "1427026111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 JEFFERSON AVE",
"address_2": "SUITE 400",
"city": "JEANNETTE",
"state": "PA",
"postal_code": "156442538",
"telephone_number": "724-527-8060",
"fax_number": "724-522-4002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532 W PITTSBURGH ST",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156012239",
"telephone_number": "724-832-4450",
"fax_number": "724-830-6669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMIT",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2017-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD040684L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012375430003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.