Individual provider Active NPI

Domini Michelina Paradiso-Clark, PA

  • Physician Assistant
  • Columbus, OH
National Provider Identifier
1861932824
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
99999 Issued in OH
Practice address
3363 Tremont Rd Ste 220
Columbus, OH 43221-2127
Phone
(614) 788-0083
NPI assigned
Feb 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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 99999 OH Primary

Addresses

Primary practice location

3363 Tremont Rd Ste 220
Columbus, OH 43221-2127

Mailing address

PO Box 7527
Dublin, OH 43017-0727

Other practice location 1

1713 Marion Mount Gilead Rd
Suite 108
Marion, OH 43302-7867
Phone (740) 383-7080

Other names 1

  • Domini Michelina Paradiso Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dparadiso178679@direct.ohiohealth.com OhioHealth Physician Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20170329002497 OH Practitioner - Physician Assistant 5698050805 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians
Marion Area Physicians LLCGroup PAC ID 1850549437, 179 clinicians
Ohiohealth Urgent Care LLCGroup PAC ID 3476733700, 129 clinicians

Practice addresses (Care Compare)

100 Tippett CT
Suite 101
Sunbury, OH 43074-8572
Phone (740) 965-3123

1040 Delaware Ave
Marion, OH 43302-6416
Phone (740) 383-7936

1045 Beecher Crossing N
Suite C
Gahanna, OH 43230-4573

1050 Delaware Ave
Marion, OH 43302-6416
Phone (740) 383-7936

1120 Polaris Pkwy
Suite 100
Columbus, OH 43240-4042
Phone (614) 847-1120

1125 Yard St
Suite 250
Grandview, OH 43212-3930
Phone (614) 788-8150

1180 N Court St
Circleville, OH 43113-1397
Phone (740) 420-8030

1638 N Memorial Dr
Lancaster, OH 43130-1631
Phone (614) 533-5500

1750 W 4TH St
Ontario, OH 44906-1770
Phone (419) 526-8900

2030 Stringtown Rd
Grove City, OH 43123-3993
Phone (614) 883-0160

250 W Bridge St
Suite 101
Dublin, OH 43017-1179
Phone (614) 761-2244

278 Barks Rd W
Marion, OH 43302-7367
Phone (740) 383-7080

300 Polaris Pkwy
Westerville, OH 43082-7989

3363 Tremont Rd
Columbus, OH 43221-2110

393 E Town St
Columbus, OH 43215-4799

4141 N Hampton Dr
Suite 100
Powell, OH 43065-7155
Phone (740) 615-2800

417 Hill Rd N
Pickerington, OH 43147-1310
Phone (614) 461-8174

4191 Kelnor Av
Suite 400
Grove City, OH 43123-3990
Phone (614) 875-6349

4191 Kelnor Dr
Grove City, OH 43123-3990

6 Lexington Blvd
Delaware, OH 43015-1047
Phone (614) 533-5500

60 Clairedan Dr
Powell, OH 43065-7340
Phone (614) 533-6850

6314 Scioto Darby Creek Rd
Hilliard, OH 43026-9726
Phone (614) 533-6760

6905 Hospital Dr
Dublin, OH 43016-9600
Phone (614) 544-8150

725 N Sandusky Ave
Bucyrus, OH 44820-1463
Phone (419) 562-4966

765 N Hamilton Rd
Gahanna, OH 43230-8703

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.16 of 100Reported as group
Quality
79.15
Promoting interoperability
100
Improvement activities
40
Cost
74.72

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
99999OHMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Mar 1, 2023 Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874

3363 Tremont Rd
Ste 220
Upper Arlington, OH 43221
Phone (614) 788-0083

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1861932824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3363 TREMONT RD STE 220",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212127",
            "telephone_number": "614-788-0083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1713 Marion Mount Gilead Rd",
            "address_2": "SUITE 108",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "OH",
            "postal_code": "433027867",
            "country_code": "US",
            "telephone_number": "740-383-7080",
            "fax_number": "740-386-2824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARADISO-CLARK",
        "first_name": "DOMINI",
        "middle_name": "MICHELINA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-24",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "99999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dparadiso178679@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "1713 Marion Mount Gilead Rd",
            "address_2": "Ste 108",
            "city": "Marion",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433027867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DOMINI",
            "last_name": "PARADISO",
            "middle_name": "MICHELINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.