| Dr Timothy P Domer, DO | |
|
16687 Saint Clair Ave, Suite 101, East Liverpool, OH 43920-9401 | |
| (330) 385-4610 | |
| (330) 385-4620 |
| Full Name | Dr Timothy P Domer |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 33 Years |
| Location | 16687 Saint Clair Ave, East Liverpool, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417918111 | NPI | - | NPPES |
| 2000798000 | Medicaid | WV | |
| 2069998 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 34005918D (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| East Liverpool Home Health | Chester, WV | Home health agency |
| Surgical Hospital At Southwoods | Youngstown, OH | Hospital |
| East Liverpool City Hospital | East liverpool, OH | Hospital |
| Heritage Valley Beaver | Beaver, PA | Hospital |
| Trinity Medical Ctr East &trinity Medical Ctr West | Steubenville, OH | Hospital |
| Hmhp St Elizabeth Boardman Health Center | Boardman, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Triad Health Services Llc | 9032367917 | 226 |
| Entity Name | Triad Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588925457 PECOS PAC ID: 9032367917 Enrollment ID: O20120918000787 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy P Domer, DO 16687 Saint Clair Ave, Suite 101, East Liverpool, OH 43920-9401 Ph: (330) 385-4610 | Dr Timothy P Domer, DO 16687 Saint Clair Ave, Suite 101, East Liverpool, OH 43920-9401 Ph: (330) 385-4610 |
Dr. James A Shaer, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 425 W 5th St, East Liverpool, OH 43920 Phone: 330-386-2047 |