Individual provider Active NPI

Dominic Palmer, PA-C

  • Physician Assistant
  • Middletown, DE
National Provider Identifier
1801603022
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
291 Carter Dr Ste a
Middletown, DE 19709-5845
Phone
(844) 365-7246
Fax
(844) 524-1767
NPI assigned
Dec 11, 2024
Last updated
Feb 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

291 Carter Dr Ste a
Middletown, DE 19709-5845

Mailing address

291 Carter Dr Ste a
Middletown, DE 19709-5845
Phone (844) 365-7246

Other practice location 1

3105 Limestone Rd Ste 300
Wilmington, DE 19808-2156
Phone (844) 365-7246

Other practice location 2

405 Silverside Rd Ste 104
Wilmington, DE 19809-1768
Phone (844) 365-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250304001411 DE Practitioner - Physician Assistant 0446771703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

291 Carter Dr
Suite a
Middletown, DE 19709-5845
Phone (844) 365-7246

3105 Limestone Rd
Suite 300
Wilmington, DE 19808-2156
Phone (844) 365-7246

405 Silverside Rd
Suite 104
Wilmington, DE 19809-1768
Phone (844) 365-7246

4701 Ogletown Stanton Rd
Newark, DE 19713-2055
Phone (844) 365-7246

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Interventional Pain Spine LLC CurrentSince Feb 26, 2025 Accepting new patients
Center for Interventional Pain Spine LLC CurrentSince Feb 26, 2025 Accepting new patients

Locations

291 Carter Dr
Ste A
Middletown, DE 19709
Phone (844) 365-7146

4701 Ogletown Stanton Rd
Newark, DE 19713
Phone (302) 266-7800

3105 Limestone Rd
Ste 300
Wilmington, DE 19808
Phone (302) 992-0200

405 Silverside Rd
Ste 104
Wilmington, DE 19809
Phone (844) 365-2202

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1801603022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 CARTER DR STE A",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095845",
            "telephone_number": "844-365-7246",
            "fax_number": "844-524-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 CARTER DR STE A",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095845",
            "telephone_number": "844-365-7246",
            "fax_number": "844-524-1767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3105 Limestone Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198082156",
            "country_code": "US",
            "telephone_number": "844-365-7246",
            "fax_number": "844-524-1767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 Silverside Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198091768",
            "country_code": "US",
            "telephone_number": "844-365-7246",
            "fax_number": "844-524-1767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "DOMINIC",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-11",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

Verify at the official NPI Registry.