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

Dr. Michele Domenick, MD

Individual provider Specialist · NPI 1720052400

Dr. Michele Domenick, MD is a General Surgery in Easton, Maryland. Qualified in 1995, 31 years ago. Practices with Chester River Hospital Center, a 30-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Delaware and Maryland.

Years since qualifying
31
Licensed in
DE, MD
In the registry since
2006
Specialties on file
3
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

500 Cadmus Ln Ste 205
Easton, MD 21601-4094
Phone: (410) 822-4553
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Banning St, Dover, DE 19904-3485 — (302) 674-0600

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence D92021 (MD)
Specialist Taxonomy 174400000X · Licence C1-0006569 (DE)
Family Medicine Physician Taxonomy 207Q00000X · Licence C1-0006569 (DE)

Record details

NPI number1720052400
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 17, 2006
Last updated in NPPESJuly 20, 2021
Certification dateJuly 20, 2021
Mailing address200 Banning St, Suite 310, Dover, DE 19904-3485

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Chester River Hospital Center — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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