Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Michael S Domer, MD

Individual provider Orthopaedic Surgery Physician · NPI 1710983143

Dr. Michael S Domer, MD is an Orthopedic Surgery in Phoenix, Arizona. Graduated from Saint Louis University School of Medicine in 1997, 29 years ago. Practices with Orthopedic Specialists of North America PLLC, a 309-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
29
Trained at
Saint Louis University School of Medicine
Licensed in
AZ
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3033 N 44th St Ste 100
Phoenix, AZ 85018-7227
Phone: (602) 631-3161
Fax: (602) 631-3162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 30418 (AZ)

Record details

NPI number1710983143
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2005
Last updated in NPPESJuly 25, 2022
Certification dateJuly 25, 2022
Mailing addressPo Box 80217, Phoenix, AZ 85060-0217

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Orthopedic Specialists Of North America Pllc — 309 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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