MR. DOMINIC JEROME GIALLOMBARDO MT(ASCP), RN, PA-C
NPI 1033373352
Physician Assistant in Gaylord, MI

Active since July 16, 2008
652 N OTSEGO AVE, GAYLORD, MI 49735(989) 732-3529(989) 732-7865 Get Directions Write a Review

NPPES record last updated: January 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 6, 2021, Nov 19, 2018 (2 updates tracked since 2018).

About Mr. Dominic Jerome Giallombardo Mt(ascp), Rn, Pa-c NPPES

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

MR. DOMINIC JEROME GIALLOMBARDO MT(ASCP), RN, PA-C (NPI 1033373352) is an individual physician assistant in Gaylord, Michigan, licensed in Michigan (5601005278) and active in the NPI registry since July 2008. He maintains a secondary practice location in Cheboygan.

NPPES Registry Identity

NPI1033373352
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. DOMINIC JEROME GIALLOMBARDOCredential: MT(ASCP), RN, PA-C
Location Address652 N OTSEGO AVEGaylord, MI 49735-2502
Mailing Address652 N Otsego AveGaylord, MI 49735-2502 · (989) 732-3529 · Fax (989) 732-7865
Fax(989) 732-7865
Sole ProprietorNo
Enumeration DateJuly 16, 2008
Last NPPES UpdateJanuary 6, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2021
NPI 1033373352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601005278
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

652 N OTSEGO AVE, Gaylord, MI 49735

Secondary Practice Location 1

Location 1748 S Main StCheboygan, MI 49721-2220 · Phone (231) 627-1282

Other Providers at the Same Location NPPES 4

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

Family Medicine
652 N OTSEGO AVE
GAYLORD, MI 49735
Nurse Practitioner
652 N OTSEGO AVE
GAYLORD, MI 49735
Family Medicine (Sports Medicine)
652 N OTSEGO AVE
GAYLORD, MI 49735
Pediatrics
652 N OTSEGO AVE
GAYLORD, MI 49735

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 Dominic Giallombardo's NPI number?

The NPI number for Dominic Giallombardo is 1033373352. It was assigned to this individual provider in the NPPES registry on July 16, 2008.

Where is Dominic Giallombardo located?

Dominic Giallombardo practices at 652 N Otsego Ave, Gaylord, MI 49735. The listed phone number is (989) 732-3529.

What is Dominic Giallombardo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Dominic Giallombardo was last updated on January 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.