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General NPI Number Information
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NPI Number | 1336107887
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Entity Type | Individual
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Provider Name | DOMINIC M SCIAMANDA DO
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Gender | Male
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 1920 W 8TH ST
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City | ERIE
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State | PA
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Zip | 16505-4935
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Country | US
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Telephone | 814-456-1097
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Fax | 814-287-9375
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Provider Business Mailing Address
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Address Line | 1920 W 8TH ST
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City | ERIE
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State | PA
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Zip | 16505-4935
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Country | US
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Telephone | 814-456-1097
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Fax | 814-287-9375
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | OS013178
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | OKO000013
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS013178
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License Number State | PA
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