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

Tim D Dominick, PA-C

Individual provider Athletic Trainer · NPI 1033536354

Tim D Dominick, PA-C is a Physician Assistant in North Chesterfield, Virginia. Graduated from Eastern Virginia Medical School in 2019, 7 years ago. Practices with Orthovirginia Inc, a 570-clinician group and accepts Medicare assignment. Licensed in North Carolina and Virginia.

Years since qualifying
7
Trained at
Eastern Virginia Medical School
Licensed in
NC, VA
In the registry since
2014
Specialties on file
2
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

1400 Johnston Willis Dr Ste A
North Chesterfield, VA 23235-4765
Phone: (804) 379-8088
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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 0110-006707 (VA)
Athletic Trainer Taxonomy 2255A2300X · Licence 2085 (NC)

Record details

NPI number1033536354
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 25, 2014
Last updated in NPPESJune 8, 2020
Certification dateJune 8, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2019 (7 years in practice)
Group practice Orthovirginia Inc — 570 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in North Chesterfield