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

Sarah Anne Domenicucci, PA, ATC

Individual provider Physician Assistant · NPI 1245219823

Sarah Anne Domenicucci, PA, ATC is a Physician Assistant in Columbus, Ohio. Qualified in 2005, 21 years ago. Practices with Ohiohealth Corporation, a 2,289-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
21
Licensed in
OH
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

303 E Town St
Columbus, OH 43215-4601
Phone: (614) 788-5000
Fax: (614) 788-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 164 Wetherby Ln, Westerville, OH 43081-4957 — (614) 839-2300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50002344 (OH)

Record details

NPI number1245219823
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA , ATC
Sole proprietorNo
NPI enumeratedJanuary 12, 2006
Last updated in NPPESJanuary 25, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Ohiohealth Corporation — 2289 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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