Organization Active NPI

Timothy P. Domer DO,Inc

  • Orthopaedic Surgery Physician
  • East Liverpool, OH
National Provider Identifier
1801946884
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
TIMOTHY P. DOMER DO,INC
Practice address
16687 Saint Clair Ave
Suite 101
East Liverpool, OH 43920-9401
Phone
(330) 385-4610
Fax
(330) 385-4620
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Timothy P Domer, DO
Title
President
Phone
(330) 385-4610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

16687 Saint Clair Ave
Suite 101
East Liverpool, OH 43920-9401

Mailing address

16687 Saint Clair Ave
Suite 101
East Liverpool, OH 43920-9401
Phone (330) 385-4610

National Provider Directory

National Provider Directory

Locations

16687 Saint Clair Ave
Ste 101
East Liverpool, OH 43920
Phone (330) 385-4610

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801946884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16687 SAINT CLAIR AVE",
            "address_2": "SUITE 101",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209401",
            "telephone_number": "330-385-4610",
            "fax_number": "330-385-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16687 SAINT CLAIR AVE",
            "address_2": "SUITE 101",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209401",
            "telephone_number": "330-385-4610",
            "fax_number": "330-385-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY P. DOMER DO,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOMER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-385-4610",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Liverpool, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.