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NPISignal

Individual Healthcare Provider

Dominik Wiest, PA-C

NPI Record: ActivePhysician Assistant
NPI1215563267
Cadillac, Michigan

Provider's NPPES record last updated: February 12, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1215563267
Primary Specialty
Physician Assistant
Practice Location
Cadillac, Michigan
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 6:17 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Physician Assistant

    Physician Assistants & Advanced Practice Nursing Providers

    Primary

    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

    Taxonomy code 363A00000X
  • Orthopaedic Surgery

    Allopathic & Osteopathic Physicians

    An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

    Taxonomy code 207X00000X

Provider-Reported License Information

Physician Assistant (Michigan)
5315227400
Orthopaedic Surgery (Illinois)
085007755
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

400 Hobart St

Cadillac, Michigan 49601-2331

Phone: (231) 935-5000

Additional Practice Location

1105 Sixth St

Traverse City, Michigan 49684-2345

Phone: (231) 779-0320

Fax: (231) 779-1367

Additional Practice Location

3537 W Front St Ste E

Traverse City, Michigan 49684-7943

Phone: (231) 935-5880

Additional Practice Location

8872 Professional Dr Ste B

Cadillac, Michigan 49601-8482

Phone: (231) 779-0320

Fax: (231) 779-1367

Additional Practice Location

7665 S US 131 Hwy

Cadillac, Michigan 49601

Phone: (231) 876-7526

Additional Practice Location

9000 Waukegan Rd Ste 200

Morton Grove, Illinois 60053-2127

Phone: (847) 375-3000

Record Information

Enumeration Date
March 20, 2020
Provider's NPPES Record Last Updated
February 12, 2026
Certification Date
February 12, 2026
NPISignal NPPES Dataset
August 2026

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