MRS. TERESA MARIE DIDOMENICO PA-C
NPI 1114037207
Physician Assistant in Munising, MI

Active since August 30, 2006
1504 SAND POINT ROAD, MUNISING, MI 49862(906) 387-4220(906) 387-5449 Get Directions Write a Review

NPPES record last updated: February 19, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Teresa Marie Didomenico Pa-c NPPES

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

MRS. TERESA MARIE DIDOMENICO PA-C (NPI 1114037207) is an individual physician assistant in Munising, Michigan, licensed in Michigan (5601002779) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1114037207
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. TERESA MARIE DIDOMENICOCredential: PA-C
Location Address1504 SAND POINT ROADMunising, MI 49862-1406
Mailing AddressPo Box 201Eben Junction, MI 49825-0201 · (906) 439-5775
Fax(906) 387-5449
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateFebruary 19, 2009
NPI 1114037207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601002779
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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 5601002779 (MI)
1504 SAND POINT ROAD, Munising, MI 49862

Other Identifiers 4

Other5601002779MI · Mi State Medical License
Medicare ID-Type UnspecifiedM08930006MI · Mi Medicare
Medicare PINP29950014MI
Medicare UPINS39827

Other Providers at the Same Location NPPES 3

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

Family Medicine
1504 SAND POINT ROAD
MUNISING, MI 49862
Family Medicine
1504 SAND POINT ROAD
MUNISING, MI 49862
Family Medicine
1504 SAND POINT ROAD
MUNISING, MI 49862

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 Teresa Didomenico's NPI number?

The NPI number for Teresa Didomenico is 1114037207. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Teresa Didomenico located?

Teresa Didomenico practices at 1504 Sand Point Road, Munising, MI 49862. The listed phone number is (906) 387-4220.

What is Teresa Didomenico'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 Teresa Didomenico was last updated on February 19, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.