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Licensee Information

Dana John Onifer - MD
2023-00496
Active
Yes
03/06/2023
05/08/2027
See: Actions-Adverse & Administrative Tab

Active Supervisees

NameTypeStatusApprovedInactive
None Reported

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
Virginia
Wisconsin

Out of Country Active/Inactive Licenses

Country
None Reported

Address


Jacksonville, NC

Information

Medical School

SchoolGraduation
Uniformed Services Univ of the Health Sciences2005

Post Graduate Training

"Last Year" does not necessarily mean that the licensee completed his/her training program. (In NC, a physician can be licensed without completing such a program.)

InstitutionSpecialtyState, CountryTraining ProgramLast Year
Naval Hospital Camp LejeuneFamily Medicine NC, US Residency2012
National Naval Medical CenterOther - Transitional Internship MD, US Internship2006

Current Board Certification and Year of Certification/Recertification

Physicians should not list non-ABMS or non-AOA specialty boards unless the board meets the criteria set forth in the NC Medical Board’s Advertising and Publicity Position Statement.

Primary/SubspecialtyYear
None Reported

Area of Practice

Area Of PracticePrimary
Family MedicineYes

Current Membership in Medical Professional Organizations

Membership
None Reported

Honors & Awards

Honor/AwardGiven ByDate
None Reported

Public Service

Name of ClinicService DescriptionDate
None Reported

Current Academic Appointments

TitleInstitutionCity, State, Country
None Reported

Publications

Title
None Reported

Section 1: Adverse Actions

North Carolina Medical Board Public Actions

This section indicates whether the North Carolina Medical Board has taken adverse public action regarding the licensee. Click on the link or links below to see an electronic copy of public documents associated with the licensee.

Certain public documents, such as hearing transcripts, are listed but are not posted on the site. If the record indicates a transcript is available, it may be obtained by contacting the Board.

NCMB public actions are posted on this site indefinitely.

DateDescriptionLink
01/23/2026 Amended Consent Order View
03/06/2023 Consent Order View

Other Regulatory Board or Agency Public Actions

This section indicates whether a regulatory authority other than NCMB has taken public action against the licensee. Out-of-state medical board actions are posted on this website indefinitely. Actions by regulatory agencies such as Medicare, Medicaid, the U.S. Drug Enforcement Administration, the U.S. Food and Drug Administration, etc., are posted for a period of seven years, from the date of the action.

DateName of Board/AgencyAction TakenLink
10/16/2023 Virginia Board of MedicineSuspension of medical license based on action taken by Wisconsin Medical Examining Board View
09/20/2023 Wisconsin Medical Examining BoardSurrender of medical license View

Health Care Institution Suspensions and Revocations

DateHealth Care InstitutionAction Taken
None Reported

Section 2: Administrative Actions

Actions listed in this section are considered non-disciplinary by the Board. In situations where administrative actions are taken, the licensee may not have met certain statutory requirements or may have failed to follow correct administrative procedures.

North Carolina Medical Board Reentry Agreement

DateDescriptionLink
None Reported

North Carolina Special Purpose Licensing Agreement

DateDescriptionLink
None Reported

Malpractice Information

This section indicates whether the licensee has been the subject of a malpractice judgment, award, payment or settlement. In accordance with NC law, the board posts this information for a period of seven years after the date of the judgment, award, payment or settlement. Settlements of less than $75,000 or that occurred prior to May 1, 2008 are not included in this information.

The Board encourages the public to consider malpractice payment information in context and in combination with other information about the licensee’s education, training and professional experience.

Please see Interpreting Malpractice Payment Information below.

The Board reviewed this payment and determined that no public action was warranted.

Incident DatePayment DateArea of PracticeCity, State, CountryResponse
05/13/2016 07/09/2020 Obstetrics Camp Lejeune, NC, US The following is based on my review of the patient's medical information that was provided to me, the medical literature, and my recollection of her care. I diagnosed twin pregnancy at 13 weeks gestation via ultrasound at the initial OB visit. Because I had never cared for a twin pregnancy nor delivered twins previously, I made sure that the patient was referred to an obstetrician for counseling on twin delivery and maternal-fetal medicine for proper monitoring of twin gestation. Additionally, I researched the risks involved with twin gestation and risk mitigation strategies. Specifically, there is an increased risk for preterm delivery and preeclampsia in twin gestation. The specific risk reduction that I identified was the administration of low-dose aspirin after 14 weeks gestation until 36 weeks. I discussed this with another obstetrically trained family physician who agreed that this was a good and safe clinical decision. At the next routine OB visit, at 16 weeks gestation, I initiated aspirin therapy for the prevention of preterm labor, intrauterine growth restriction, and preeclampsia in twin gestation. The order placed in the EHR was for 325 mg aspirin. The intent was for a low dose (81 mg) aspirin. I incorrectly ordered the wrong dose, most likely the result of a mouse click error. I ordered 90 days of medication with adequate refills to get her through the pregnancy. The EHR primary care routine OB template used in the family medicine clinic was manually updated to indicate the aspirin prescription, as per standard procedures because the does not automatically update the current medications information. I entered the intended dose of 81 mg vice the actual prescribed dose of 365 mg. Because the medical reconciliation is manually entered and does not synchronize with the actual pharmacy record, and then is copied forward to future encounters, the EHR system and the established practices for using the template perpetuated this error. The workaround of the template was intended to streamline documentation and provide a better, more readable, and provider friendly record; however, that workaround does not have a built-in mechanism to validate manual entries. There is no check between the patient encounter and the pharmacy record. This system problem also exists with the medical history and other historical elements of the patient encounter record. , as it is built and functions, creates a cumbersome and unwieldy encounter document that hinders efficient patient care. The tools and techniques developed to fix that have created their own risks, such as this situation. The combination of manual entry and copy forward, which is the standard procedure for the use of the, creates and perpetuates a systemic risk of documentation error and, therefore, treatment error. Because of the associated risks with a twin gestation and delivery, I ordered consultations from obstetrics and maternal-fetal medicine and reviewed each encounter with an OB trained family physician. The patient was evaluated and counseled on twin delivery by an obstetrician. The patient was routinely monitored by the maternal-fetal medicine clinic, both the specialist and the nurse-midwife that worked in the clinic. There were no indications of complications with the pregnancy and the medication was never questioned. Medical reconciliation was documented in multiple encounters by these other providers and no one identified the aspirin dosing error. This further highlights the system problem with proper documentation and medication reconciliation. Immediately after being informed of the medication error, I did a detailed literature search on aspirin and pregnancy. The search confirmed that there was evidence of significant benefit from low-dose aspirin use to help prevent preeclampsia, intrauterine growth restriction, and preterm labor, all of which are of increased risk in twin gestation. Dosing regimens studied were up to 150 mg of aspirin a day with improved outcomes and no increased risk of bleeding or placental abruption. In preparing this statement, I searched the medical literature for "aspirin" and "pregnancy" to include data published up to the time of my aspirin prescription in this case and have found no evidence that would indicate that the medication error was the cause of this outcome. I repeated a search to include the most recent data available. This updated search confirmed the benefit of aspirin in pregnancies at increased risk for preeclampsia, intrauterine growth restriction, and preterm labor and that there were no significant risks associated with aspirin use. Specifically, there was no significantly increased risk of placental abruption and peripartum hemorrhage. One study specifically looking at the use of aspirin and its effect on placental abruption and antepartum hemorrhage indicated that daily doses of aspirin greater than 100 mg for the prevention of preeclampsia may decrease the risk of placental abruption or antepartum hemorrhage. Although I ordered the wrong dose of the correct medication, the template and the clinical procedures in practice at the facility facilitated the perpetuation of that error and prevented it from being identified and corrected. I do not take this case lightly and do not have a cavalier approach to evaluating my role in what happened. I have informally consulted multiple physicians - obstetricians, maternal-fetal medicine specialists, pediatricians, and hematologists - regarding this case because I wanted to know if the outcome was my fault. None of them have had any suspicion that a 325 mg aspirin resulted in placental abruption or the baby's developmental abnormalities.

Interpreting Malpractice Payment Information

North Carolina Medical Board Public Action associated with a malpractice payment

An important factor to consider when interpreting malpractice payment information is whether the payment is associated with a public action of the NC Medical Board. The Board reviews the quality of care associated with every malpractice payment involving a North Carolina licensee. The Board takes public action when its investigation determines patient care was below accepted and prevailing standards.

When considering malpractice payment data, please keep in mind:

  • The existence of a payment does not necessarily mean that malpractice has occurred. Nor is a payment necessarily evidence of incompetence, misconduct or an admission of wrongdoing on the part of the licensee.
  • It often takes years for a malpractice claim to move through the legal and/or liability insurance systems. The incident that resulted in a payment may have taken place years before the payment was made.
  • Malpractice payment histories vary by area of practice. Some licensees may have a higher-than-average incidence of malpractice payments because they specialize in treating patients who are at a high risk for problems.
  • Malpractice insurance companies sometimes settle cases because it is less costly to make a monetary settlement than it is to defend a case in court. Many times, such cases are settled without a finding of fault or admission of negligence by the licensee.

Misdemeanor/DUI/DWI Conviction Information

Conviction DateConvictionJurisdictionSentence
None Reported

Felony Conviction Information

Conviction DateConvictionJurisdictionSentence
None Reported
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