Active NPI
Thomas F Dominick, MD
- Orthopaedic Surgery Physician
- Lewisburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD054208L
- Practice address
- 210 JPM Rd Ste 300
Lewisburg, PA 17837-9367 - Phone
- (570) 524-4446
- Fax
- (570) 768-4623
- NPI assigned
- Mar 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | MD054208L | PA | |
| Orthopaedic Surgery Physician | 207X00000X | MD054208L | PA | Primary |
Addresses
Primary practice location
210 JPM Rd Ste 300
Lewisburg, PA 17837-9367
Mailing address
1 Hospital Dr Ste 306
Lewisburg, PA 17837-9350
Phone (570) 522-4110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Temple University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Phoenix Rehabilitation and Health Services Inc
Practice addresses (Care Compare)
1 Hospital Dr
Lewisburg, PA 17837-9350
Phone (570) 522-4264
191 Roosevelt Ave
Suite 2000
Selinsgrove, PA 17870-7998
Phone (570) 524-4446
2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238
210 JPM Rd
Lewisburg, PA 17837-9367
Phone (570) 522-4299
25 Monument Rd
York, PA 17403-5073
289 S Market St
Elysburg, PA 17824-9737
Hospital & facility affiliations
- Commonwealth Home Health & Hospice of Berwick
- Wellspan Evangelical Community Hospital
- Geisinger Medical Center
- Geisinger Encompass Health Rehabilitation Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 60 |
| Knee replacement | 39 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD054208L | PA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evangelical Medical Services Organization | Orthopaedic Surgery | Current | Accepting new patients |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Evangelical Medical Services Organization | Current | Accepting new patients | |
| Evangelical Medical Services Organization | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Evangelical Community Hospital | Past | Accepting new patients | |
| Evangelical Community Hospital | Past | Accepting new patients | |
| Wellspan Medical Group | Past | Accepting new patients | |
| Evangelical Medical Services Organization | Past | Accepting new patients |
Locations
289 S Market St
Elysburg, PA 17824
Phone (570) 672-9885
900 Buffalo Rd
Lewisburg, PA 17837
Phone (570) 522-1177
210 Jpm Rd
Ste 300
Lewisburg, PA 17837
3 Hospital Dr
Ste 318
Lewisburg, PA 17837
Phone (570) 522-1007
112 N 15th St
#1000
Lewisburg, PA 17837
1 Hospital Dr
Ste 306
Lewisburg, PA 17837
Phone (570) 522-4110
3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771
112 N 15th St
#2000
Lewisburg, PA 17837
Phone (570) 522-0660
25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290
191 Roosevelt Ave
Ste 2000
Selinsgrove, PA 17870
435 River Ave
Ste 2
Williamsport, PA 17701
435 River Ave
#1
Williamsport, PA 17701
Phone (800) 598-5096
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
1600 S George St
York, PA 17403
Phone (717) 848-3615
Interoperability endpoints
- tdominick485203@wellspan.direct-ci.com
Organizations & group practices 10
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.
-
- Surgery Physician
- Lewisburg, PA
- NPI 1205928967
Orthopaedic Surgery
-
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Urology Physician
- Lewisburg, PA
- NPI 1083412084
-
- Family Medicine Physician
- Lewisburg, PA
- NPI 1295834984
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- Family Medicine Physician
- Hanover, PA
- NPI 1184962821
-
- General Acute Care Hospital
- Lewisburg, PA
- NPI 1124076039
-
- Ambulatory Surgical Clinic/Center
- Lewisburg, PA
- NPI 1255829347
-
- Clinical Medical Laboratory
- Lewisburg, PA
- NPI 1760769442
-
- Family Medicine Physician
- York, PA
- NPI 1598862716
Hospital & facility affiliations 29
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Berwick, PA
- NPI 1639103534
-
- General Acute Care Hospital
- Lewisburg, PA
- NPI 1124076039
-
- Rehabilitation Hospital
- Danville, PA
- NPI 1811961758
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Danville, PA
- NPI 1013384809
-
- General Acute Care Hospital
- Coal Township, PA
- NPI 1033491741
-
- Psychiatric Hospital Unit
- Danville, PA
- NPI 1144301102
-
- General Acute Care Hospital
- Lewisburg, PA
- NPI 1154617694
-
- General Acute Care Hospital
- Danville, PA
- NPI 1235215427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654646400000",
"number": "1528028883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR STE 306",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "178379350",
"telephone_number": "570-522-4110",
"fax_number": "570-768-3911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 JPM RD STE 300",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "178379367",
"telephone_number": "570-524-4446",
"fax_number": "570-768-4623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINICK",
"first_name": "THOMAS",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2022-06-08",
"certification_date": "2022-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "PA",
"license": "MD054208L",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "MD054208L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.