Timothy Domer (NPI# 1417918111, PAC ID# 8527089499) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1417918111 |
| PAC ID by PECOS | 8527089499 |
| Professional Enrollment ID | I20120516000458 |
| Full Name | Timothy Domer |
| Organization Legal Name | TRIAD HEALTH SERVICES LLC |
| Address |
16687 Saint Clair Ave Suite 101 East Liverpool OH 43920-9401 |
| Phone Number | 3303854610 |
| Gender | M |
| Medical School | OHIO UNIVERSITY OF OSTEO MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 9032367917 |
| Number of Group Practice Members | 50 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360352 | SURGICAL HOSPITAL AT SOUTHWOODS |
| 360096 | EAST LIVERPOOL CITY HOSPITAL |
| 360276 | HMHP ST ELIZABETH BOARDMAN HEALTH CENTER |
| 360211 | TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST |
| 510023 | WEIRTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 16687 Saint Clair Ave, Suite 101, East Liverpool, OH 43920-9401 | 3303854610 | TRIAD HEALTH SERVICES LLC |
| 6615 Clingan Rd A, Youngstown, OH 44514-2196 | 3307299910 | TRIAD HEALTH SERVICES LLC |
| Organization Legal Name | TRIAD HEALTH SERVICES LLC |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberley A Clark | Nurse Practitioner | Triad Health Services LLC | 7629 Market St, Youngstown, OH 44512-6051 |
| Deborah J Nichols | Nurse Practitioner | Triad Health Services LLC | 3304 Stones Throw Ave, Poland, OH 44514-4204 |
| Richard J Marina | Gastroenterology | Triad Health Services LLC | 918 Trailwood Dr, Suite 1, Youngstown, OH 44512-5037 |
| Richard Griffin Nord | Urology | Triad Health Services LLC | 904 Sahara Trl, Youngstown, OH 44514-3695 |
| James R Stille | Urology | Triad Health Services LLC | 3915 E Market St, Warren, OH 44484-4710 |
| Jeffrey Halley | Cardiovascular Disease (cardiology) | Triad Health Services LLC | 425 W 5th St, East Liverpool, OH 43920-2405 |
| Raymond Scott Duffett | Orthopedic Surgery | Triad Health Services LLC | 1335 Belmont Ave, Youngstown, OH 44504-1135 |
| Douglas J Smith Behn | General Surgery | Triad Health Services LLC | 4308 Belmont Ave, Suite 3, Youngstown, OH 44505-1071 |
| James Nicholas Pantelakis | Orthopedic Surgery | Triad Health Services LLC | 6615 Clingan Rd A, Youngstown, OH 44514-2196 |
| Lauren Wire | Nurse Practitioner | Triad Health Services LLC | 425 W 5th St, East Liverpool, OH 43920-2405 |
| Street Address |
16687 SAINT CLAIR AVE SUITE 101 |
| City | EAST LIVERPOOL |
| State | OH |
| Zip | 43920-9401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ghulam R Aziz | Pulmonary Disease | 16218 St Clair Ave, East Liverpool, OH 43920 | |
| Theodore D Chrobak | Family Medicine | 332 W 6th St, East Liverpool, OH 43920-0000 | |
| Kelly A Scott | Nurse Practitioner | Cope Treatment Centers, Inc. | 701 Armstrong Ln, East Liverpool, OH 43920-1284 |
| Jeffrey Halley | Cardiovascular Disease (cardiology) | Triad Health Services LLC | 425 W 5th St, East Liverpool, OH 43920-2405 |
| Steven J Deutch | Diagnostic Radiology | Foundation Radiology Group PC | 425 W 5th Ave, East Liverpool, OH 43920-2405 |
| Chakri Yarlagadda | Cardiovascular Disease (cardiology) | Mercy Health Physicians Youngstown, LLC | 425 W 5th St, East Liverpool, OH 43920-2405 |
| Thomas G Mason | Certified Registered Nurse Anesthetist (crna) | Penn-ohio Associates In Anesthesiology LLC | 425 W 5th St, East Liverpool, OH 43920-2405 |
| Brittnie Leoria Cave | Nurse Practitioner | River Valley Physicians LLC | 425 W 5th St, East Liverpool, OH 43920-2405 |
| Lauren Wire | Nurse Practitioner | Triad Health Services LLC | 425 W 5th St, East Liverpool, OH 43920-2405 |
| Donald Joseph Tamulonis Jr. | Neurology | Mercy Health Physicians Youngstown, LLC | 425 W 5th St, East Liverpool, OH 43920-2405 |
| Find all physicians in zip 43920 | |||
| City | EAST LIVERPOOL |
| Zip Code | 43920 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | EAST LIVERPOOL + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Timothy Domer.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.