Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dominic Ditirro, PA-C

Individual provider Physician Assistant · NPI 1780356592

Dominic Ditirro, PA-C is a Physician Assistant in Cleveland, Ohio. Qualified in 2021, 5 years ago. Practices with Fairview Hospital, a 73-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
5
Licensed in
OH
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

18101 Lorain Ave
Cleveland, OH 44111-5612
Phone: (216) 476-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.007243RX (OH)

Record details

NPI number1780356592
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 30, 2021
Last updated in NPPESSeptember 30, 2021
Certification dateSeptember 30, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Fairview Hospital — 73 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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