DR. RICHARD ALAN DEVORE (NPI# 1356344717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356344717 |
Entity Type | Individual |
Full Name | DR. RICHARD ALAN DEVORE |
Credential | MD |
Practice Address |
630 W Main St Ste 300 Wilmington OH 45177-2172 |
Mailing Address |
610 W Main St Wilmington OH 45177-2125 |
Practice Telephone | 9372839800 |
Practice Fax Number | 9372839794 |
Mailing Telephone | 9372839845 |
Mailing Fax Number | 9372839839 |
Enumeration Date | 2005-05-31 |
Last Update Date | 2020-09-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Y00000X | Otolaryngology | 150885 | OR | Allopathic & Osteopathic Physicians |
Y | 207Y00000X | Otolaryngology | 35-058294 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | RR MEDICARE | 040015410 | 01 |
OH | 0802804 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
3000 Bryant Williams Dr, Ste 200, Klamath Falls, OR 976011139 | 5412748650 |
Street Address |
630 W MAIN ST STE 300 |
City | WILMINGTON |
State | OH |
Zip Code | 45177-2172 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710542220 | Kratzer Pharmacy Inc. | Pharmacy | 187 W Locust St, Wilmington, OH 45177 | 2019-05-09 |
1639642754 | Jerrica Kimber Smith | Physical Therapy Assistant | 175 Cape May Dr., Therapy Suite, Wilmington, OH 45177 | 2019-01-11 |
1083187280 | Heather Freytag | Physical Therapy Assistant | 175 Cape May Drive, Wilmington, OH 45177 | 2019-01-10 |
1740780865 | Greater Tomorrow Wellness, LLC | Physician Assistant | 1097 W Locust St, Wilmington, OH 45177 | 2018-02-15 |
1144632431 | Orion Rehabilitation Center, Inc. | Day Training, Developmentally Disabled Services | 4595 State Route 730, Wilmington, OH 45177 | 2014-05-21 |
1841546975 | Kathleen Michelle Miller | Nurse Practitioner | 610 West Main Street, Emergency Department, Wilmington, OH 45177 | 2012-07-26 |
1952693590 | John K Loudermilk Inc. | Dentist | 260 W. Locust St., Wilmington, OH 45177 | 2011-05-13 |
1619209475 | Premier Health Care LLC | Clinic/Center | 2845 Progress Way, Wilmington, OH 45177 | 2010-02-04 |
1417179474 | Larry Alan Howard | Specialist/Technologist | Wilmington College, 1870 Quaker Way, Box 1246, Wilmington, OH 45177 | 2007-05-02 |
1659494425 | Alan Robert Thompson | Chiropractor | 39 North South Street, Wilmington, OH 45177 | 2007-04-09 |
Find all providers in zip 45177 |
Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790163434 | Henri Toufic Traboulsi | Otolaryngology | 331 Justison St, Apt 403, Wilmington, DE 19801-5181 | 2015-05-14 |
1972830545 | Robert V Fulk Jr. | Otolaryngology | 764 Forest Hills Dr, Wilmington, NC 28403-2510 | 2009-11-03 |
1770686214 | Awny Aziz Abdou | Otolaryngology | 1601 Kirkwood Hwy., Attn: Ent, Wilmington, DE 19805 | 2006-09-07 |
1891707840 | Sherif B Botros | Otolaryngology | 1625 Doctors Cir, Wilmington, NC 28401-7405 | 2006-08-11 |
1184668261 | Emilio R Valdes Jr. | Otolaryngology | 700 N Clayton Street, Otolaryngology Consultants Pa, Wilmington, DE 19899-0993 | 2006-06-16 |
1356391593 | Otolaryngology Consultants Pa | Otolaryngology | 700 North Clayton Street, Wilmington, DE 19805 | 2006-05-10 |
1548221690 | S E Vonbiberstein | Otolaryngology | 2311 Delaney Rd, Wilmington, NC 28403-6012 | 2006-03-29 |
1285020495 | Margeaux Rose Corby | Otolaryngology | 2311 Delaney Ave, Wilmington, NC 28403-6012 | 2015-04-14 |
1659767028 | Lauren Galinat Bogdan | Otolaryngology | 2300 Pennsylvania Ave, Ste 2a, Wilmington, DE 19806-1379 | 2015-04-12 |
1700224797 | Owen Woods | Otolaryngology | 1941 Limestone Road, Suite 210, Wilmington, DE 19808 | 2013-06-12 |
Find all providers in WILMINGTON |
City | WILMINGTON |
Zip Code | 45177 |
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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.