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SEAN D DOMZALSKI PA-C
NPI 1003213919
Physician Assistant - Medical in Wilkes-barre, PA

Active since November 21, 2014
150 MUNDY STREET, MAC IV BUILDING, WILKES-BARRE, PA 18702(570) 824-0930(570) 824-7755 Get Directions Write a Review

NPPES record last updated: September 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sean D Domzalski Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEAN D DOMZALSKI PA-C (NPI 1003213919) is an individual medical provider in Wilkes-barre, Pennsylvania, licensed in Pennsylvania (MA057321) and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1003213919
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameSEAN D DOMZALSKICredential: PA-C
Location Address150 MUNDY STREET, MAC IV BUILDINGWilkes-barre, PA 18702
Mailing Address243 S Prospect StNanticoke, PA 18634-2449 · (570) 417-5402
Phone(570) 824-0930
Fax(570) 824-7755
Sole ProprietorNo
Enumeration DateNovember 21, 2014
Last NPPES UpdateSeptember 21, 2015
✔ NPI 1003213919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · MA057321
150 MUNDY STREET, Wilkes-barre, PA 18702
Open in Google Maps ↗

Other Identifiers 2

Other50130489PA · Capital Blue Cross
Medicare PIN388537J67PA

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZAHID HUSAIN MD
Internal Medicine (Rheumatology)
150 MUNDY STREET, MAC II BLDG
WILKES BARRE, PA 18702
Luzerne County (570) 824-7117
JULIANN P KAMINSKI LMT
Massage Therapist
150 MUNDY STREET, MAC IV BUILDING
WILKES-BARRE, PA 18702
Luzerne County (570) 824-0930
PRACHI MAJAMUNDAR
Physician Assistant
150 MUNDY STREET, MAC IV BUILDING
WILKES-BARRE, PA 18702
Luzerne County (570) 824-0930
ADAM WILLIAM YNGELMO PA-C
Physical Medicine & Rehabilitation
150 MUNDY STREET, MAC IV BUILDING
WILKES-BARRE, PA 18702
Luzerne County (570) 824-0930
MR. ANTHONY RAYMOND RAINERI PA-C
Physician Assistant
150 MUNDY STREET
WILKES BARRE, PA 18702
Luzerne County (570) 829-0031
MRS. NANCY JEAN BODMAN-GOY CRNP
Nurse Practitioner (Gerontology)
150 MUNDY STREET
WILKES-BARRE, PA 18702
Luzerne County (570) 824-0930
NEUROSURGICAL SPECIALTIES OF NEPA
Neurological Surgery
150 MUNDY STREET, MAC 4
WILKES BARRE, PA 18702
Luzerne County (570) 823-3300
ARTHRITIS CENTER OF NE PA INC
Internal Medicine (Rheumatology)
150 MUNDY STREET, MAC II BLDG
WILKES BARRE, PA 18702
Luzerne County (570) 824-7117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sean Domzalski's NPI number?

The NPI number for Sean Domzalski is 1003213919. It was assigned to this individual provider in the NPPES registry on November 21, 2014.

Where is Sean Domzalski located?

Sean Domzalski practices at 150 Mundy Street Mac IV Building, Wilkes-Barre, PA 18702. The listed phone number is (570) 824-0930.

What is Sean Domzalski's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Sean Domzalski was last updated on September 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.