DWAYNE R DEPRY DO INC (NPI# 1073703641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073703641 |
| Entity Type | Organization |
| Organization Name | DWAYNE R DEPRY DO INC |
| Practice Address |
1221 E Spruce Ave Fresno CA 93720 |
| Practice Telephone | 5592612799 |
| Practice Fax Number | 5592612796 |
| Mailing Telephone | 5592612799 |
| Mailing Fax Number | 5592612796 |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2007-07-30 |
| Authorized Official Name | DWAYNE R DEPRY (OWNER) |
| Authorized Official Telephone | 5592612799 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
20A9403 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1221 E SPRUCE AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033105598 | Markos H Zemede | Internal Medicine | 1221 E Spruce Ave, Fresno, CA 93720-3374 | 2005-09-21 |
| 1740680867 | Loza H Jemjem | Internal Medicine | 1221 E Spruce Ave, Fresno, CA 93720-3374 | 2014-08-26 |
| 1801139878 | Linder Quann Medical Associates Inc | Non-Pharmacy Dispensing Site | 1221 E Spruce Ave, Fresno, CA 93720-3374 | 2013-03-28 |
| 1184988057 | Jaspreet Kaur | Family Medicine | 1221 E Spruce Ave, Fresno, CA 93720 | 2012-06-26 |
| 1831496538 | Willis L Chang | Internal Medicine | 1221 E Spruce Ave, Fresno, CA 93720-3374 | 2011-02-16 |
| 1619055118 | Dwayne R Depry | Psychiatry & Neurology | 1221 E Spruce Ave, Fresno, CA 93720 | 2006-11-01 |
| 1497856496 | Susan Mcbride | Nurse Practitioner | 1221 E Spruce Ave, Fresno, CA 93720 | 2006-09-25 |
| 1437166360 | Lqmg Medical Group Inc. | Internal Medicine | 1221 E Spruce Ave, Fresno, CA 93720 | 2006-08-02 |
| 1760479745 | W L Brown Medical Corporation | Obstetrics & Gynecology | 1221 E Spruce Ave, C, Fresno, CA 93720-3374 | 2005-10-04 |
| 1851387005 | Roger F Brown | Internal Medicine | 1221 E Spruce Ave, Fresno, CA 93720-3374 | 2005-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912380932 | Saoda Shuara | Psychiatry & Neurology | 7780 N Fresno St Ste 105, Fresno, CA 93720-2413 | 2015-07-08 |
| 1356759088 | George P. Rowell, M.d., Inc. | Psychiatry & Neurology | 1330 L St Ste E, Fresno, CA 93721-1717 | 2014-07-25 |
| 1104136803 | Melinda Jane Tyler | Psychiatry & Neurology | Uplift Family Services, 6051 N Fresno Street, Suite 201, Fresno, CA 93710 | 2010-10-14 |
| 1063698884 | Lana P. Williams | Psychiatry & Neurology | 1322 E. Shaw Ave., 410, Fresno, CA 93710-7904 | 2008-01-10 |
| 1437347721 | The Fresno Center | Psychiatry & Neurology | 4855 E Kings Canyon Rd, Fresno, CA 93727-3811 | 2007-10-11 |
| 1497965073 | Glenn Kikuya Ikawa | Psychiatry & Neurology | 575 E Locust Ave Ste 311, Fresno, CA 93720-2928 | 2007-05-23 |
| 1164634572 | George Pearson Rowell | Psychiatry & Neurology | 1330 L St, Suite E, Fresno, CA 93721-1717 | 2007-05-06 |
| 1083739767 | Paul J Markovitz | Psychiatry & Neurology | 7409 N Cedar Avenue, Suite 101, Fresno, CA 93720 | 2007-03-20 |
| 1003940214 | Aria Renee Torii | Psychiatry & Neurology | Fresno County Department of Mental Health Services, 4441 E Kings Canyon Rd, Fresno, CA 93703 | 2007-03-16 |
| 1164558615 | Sam A Castro | Psychiatry & Neurology | 333 W Shaw #7, Fresno, CA 93704-2657 | 2007-02-26 |
| Find all providers in FRESNO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.