DEVIN DIMOND (NPI# 1134521750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134521750 |
Entity Type | Individual |
Full Name | DEVIN DIMOND |
Credential | DPM |
Practice Address |
1904 E Barnett Rd Medford OR 97504-8262 |
Practice Telephone | 5417763338 |
Practice Fax Number | 5417764979 |
Mailing Telephone | 5417763338 |
Mailing Fax Number | 5417764979 |
Enumeration Date | 2014-09-26 |
Last Update Date | 2020-09-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E5472 | CA | Podiatric Medicine & Surgery Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2914 W Main St, Visalia, CA 932915731 | 5596272849 | |
515 W Morton Ave, Porterville, CA 93257 | 5597810364 |
Street Address |
1904 E BARNETT RD |
City | MEDFORD |
State | OR |
Zip Code | 97504-8262 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528166485 | Evan Chard Merrill | Podiatrist | 1904 E Barnett Rd, Medford, OR 97504-8262 | 2006-09-21 |
1891980546 | Southern Oregon Foot & Ankle, LLC | Podiatrist | 1904 E Barnett Rd, Medford, OR 97504-8262 | 2007-09-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
Find all providers in zip 97504 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902809411 | Raymond S. Murano | Podiatrist | 101 Main St, Ste 207, Medford, MA 02155-4530 | 2005-05-30 |
1750743084 | Kadin Foot & Ankle Center PC | Podiatrist | 128 Route 70, Suite 14, Medford, NJ 08055-2371 | 2016-03-25 |
1316205909 | Jill Francine Ashcraft | Podiatrist | 26 City Hall Mall, Medford, MA 02155-4754 | 2012-05-02 |
1366768699 | William David Goforth | Podiatrist | 490 Murphy Rd, Medford, OR 97504-8144 | 2010-04-12 |
1730358664 | Raymond S. Murano Dpm PC | Podiatrist | 101 Main St, Suite 207, Medford, MA 02155-4540 | 2008-02-25 |
1376607713 | South Island Podiatry Specialists,pc | Podiatrist | 1641 Route 112, Medford, NY 11763-3635 | 2006-12-20 |
1871504035 | Thomas W Perendy | Podiatrist | 143 S Gibson St, Medford, WI 54451-1622 | 2006-08-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003432204 | Frontier Foot and Ankle Specialists LLC | Podiatrist | 780 2nd St Se # 10, Bandon, OR 97411-8354 | 2020-06-23 |
1710436662 | Hermiston Family Foot Clinic LLC | Podiatrist | 1050 W Elm Ave Ste 170, Hermiston, OR 97838-2715 | 2016-10-03 |
1255784492 | Sunny Sajjad | Podiatrist | 4905 River Rd N, Keizer, OR 97303-4539 | 2016-07-22 |
1285080556 | Sean Westover | Podiatrist | 1227 Ne 7th St Ste A, Grants Pass, OR 97526-1430 | 2016-05-05 |
1659774792 | Heather Keeler | Podiatrist | 1880 Willamette Falls Dr Ste 111, West Linn, OR 97068-4653 | 2014-10-03 |
1386051803 | Southwest Podiatry Center LLC | Podiatrist | 9370 Sw Greenburg Rd Ste 102, Portland, OR 97223-5428 | 2014-07-16 |
1578980694 | Amy Theppote | Podiatrist | 6542 Se Lake Rd Ste 102, Milwaukie, OR 97222-2245 | 2014-03-26 |
1144576224 | Trevor J Haynes | Podiatrist | 39400 Pioneer Blvd Ste 4, Sandy, OR 97055-8000 | 2012-07-26 |
1922379379 | John S Balknap Dpm PC | Podiatrist | 1716 E 12th St, The Dalles, OR 97058-3137 | 2012-01-17 |
1407145568 | Justin T Johnson Dpm Inc. | Podiatrist | 1661 Hwy 99 N Ste 201, Ashland, OR 97520-8900 | 2011-03-29 |
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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.