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

Individual provider Physician Assistant · NPI 1841847563

Dominic John Deangelo, PA-C is a Physician Assistant in Boardman, Ohio. Qualified in 2019, 7 years ago. Practices with Triad Health Services LLC, a 253-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
7
Licensed in
OH
In the registry since
2019
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

250 Debartolo Pl
Boardman, OH 44512-7004
Phone: (300) 314-9100
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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 50.006010 (OH)

Record details

NPI number1841847563
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 19, 2019
Last updated in NPPESJanuary 5, 2020
Certification dateJanuary 5, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Triad Health Services Llc — 253 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Boardman