Domenic D Diclemente, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD038834E Issued in PA

Practice address

1966 Lincoln Way
Suite 100
White Oak, PA 15131

Phone

(412) 673-3800

Fax

(412) 673-5848

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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.

• White Oak OB GYN Services PC

  • Obstetrics Physician
  • White Oak, PA
  • NPI 1043254410
  NPD (past)
• White Oak Wellness

  • Substance Use Disorder Rehabilitation Clinic/Center
  • White Oak, PA
  • NPI 1124658331
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811060098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1966 LINCOLN WAY",
            "address_2": "SUITE 100",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "15131",
            "telephone_number": "412-673-3800",
            "fax_number": "412-673-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1966 LINCOLN WAY",
            "address_2": "SUITE 100",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "15131",
            "telephone_number": "412-673-3800",
            "fax_number": "412-673-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICLEMENTE",
        "first_name": "DOMENIC",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD038834E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED PLUS",
            "identifier": "136255",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cullyn Anthony Consales, D.C.
• Leroy Douglass Cooper Jr.
• Ethan Corona Jr., PT
• Devlynn Victoria Degnan
• Dermatological Associates PC
• Louis A Ditoppa, D.O.
• Joseph Thomas Driscoll
• Darren Wesley Dubyak, D.C.
• Dva Healthcare Renal Care Inc
• Peter S Eddy, DDS

• Obstetrics & Gynecology Physician in White Oak, PA
• Providers in White Oak, PA by specialty
• Obstetrics & Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.