Dana J Domer, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50001082 Issued in OH

Practice address

4650 Hills and Dales Rd NW
Canton, OH 44708-6220

Phone

(330) 491-9675

Fax

(330) 491-1682

NPI assigned

Feb 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

81.09 of 100Reported as group

Quality

59.24

Promoting interoperability

99

Improvement activities

40

Cost

78.55

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1972639078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7614 KNOLL RIDGE AVE NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44721",
            "telephone_number": "330-324-3010",
            "fax_number": "330-491-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 HILLS AND DALES RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447086220",
            "telephone_number": "330-491-9675",
            "fax_number": "330-491-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMER",
        "first_name": "DANA",
        "middle_name": "J",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50001082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Lee Doerschuk, PRESIDENT
• Dogwood Services LLC (Dogwood Counseling)
• Michele Marie Dolensky
• Max Rein Doll
• Debra L Dolph
• Scott Domer, RPH
• Domestic Violence Project, Inc
• Domestic Violence Project, Inc
• Julie Dominik
• Daryl Donald, MD

• Physician Assistant in Canton, OH
• Providers in Canton, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.