DOUGLAS GUTHRIE JR DPM (NPI# 1457535908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457535908 |
| Entity Type | Organization |
| Organization Name | DOUGLAS GUTHRIE JR DPM |
| Practice Address |
514 S Bonham St Suite B Mexia TX 76667-3600 |
| Mailing Address |
3200 Creekwood Cir Waco TX 76710-1350 |
| Practice Telephone | 2545627999 |
| Mailing Telephone | 2545627999 |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2007-12-26 |
| Authorized Official Name | DOUGLAS GUTHRIE JR. (OWNER) |
| Authorized Official Telephone | 2545627999 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
00194 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 00F140 | 01 |
| Street Address |
514 S BONHAM ST SUITE B |
| City | MEXIA |
| State | TX |
| Zip Code | 76667-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083676886 | Phillip Jones | Surgery | 514 S Bonham St, Suite G, Mexia, TX 76667-3600 | 2006-04-05 |
| 1548799265 | Steve Billy Rossiaky | Nurse Practitioner | 514 S Bonham St, Mexia, TX 76667-3600 | 2017-06-06 |
| 1487046371 | Christopher Lee George | Nurse Practitioner | 514 S Bonham St, Mexia, TX 76667-3600 | 2015-03-02 |
| 1861894834 | James Michael Grissett | Nurse Practitioner | 514 S Bonham St, Mexia, TX 76667-3600 | 2014-09-22 |
| 1104069228 | Lashaundra Marie Thedford-smith | Internal Medicine | 514 S Bonham St, Mexia, TX 76667-3600 | 2009-04-20 |
| 1558521179 | Texas Specialty Physicians | Surgery | 514 S Bonham St, Ste. D, Mexia, TX 76667-3600 | 2008-06-17 |
| 1184806549 | Irene Yoba C Ngantcha | Internal Medicine | 514 S Bonham St, Mexia, TX 76667-3600 | 2007-11-28 |
| 1730241852 | Mexia Principal Healthcare Limited Partnership | Clinic/Center | 514 S Bonham St, Mexia, TX 76667 | 2006-12-14 |
| 1205927829 | Kenneth L Russell | Internal Medicine | 514 S Bonham St, Mexia, TX 76667-3600 | 2006-09-27 |
| 1134233836 | Jerry Wayne Simmons | Family Medicine | 514 S Bonham St, Suite H, Mexia, TX 76667-3600 | 2006-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114408663 | Jennifer Elaine Fife | Physical Therapy Assistant | 831 Tehuacana, Mexia, TX 76667 | 2018-08-23 |
| 1134600687 | Sheila Wallitsch | Physical Therapy Assistant | 831 Tehuacana Hwy, Mexia, TX 76667 | 2018-08-23 |
| 1801377452 | Donna Elaine Winstead | Occupational Therapy Assistant | 831 Tehaucana Highway, Mexia, TX 76667 | 2018-08-22 |
| 1124404181 | Lori Ann Jones | Durable Medical Equipment & Medical Supplies | 906 E Milam St, Mexia, TX 76667 | 2015-07-31 |
| 1083021570 | Manor Nursing and Rehab Center LLC | Skilled Nursing Facility | 831 Tehuacana Highway, Mexia, TX 76667 | 2014-07-16 |
| 1568752848 | Kuh-nekt Healthcare Solutions, LLC. | Local Education Agency (LEA) | 208 N. Paris St., Mexia, TX 76667 | 2011-04-08 |
| 1245451228 | David Leslie Deffner | Chiropractor | 926 E. Main, Mexia, TX 76667 | 2007-05-01 |
| 1629199336 | John C Sponenberg | Dentist | 3 Miles West Hwy 171, Mexia, TX 76667 | 2007-04-02 |
| 1275608481 | Robin L Cholopisa | Dentist | 300 N Sherman, Mexia, TX 76667 | 2006-11-22 |
| 1023112489 | Geoffrey Meyer Palter | Family Medicine | 540 Chapel Drive, Mexia State School, Mexia, TX 76667 | 2006-09-07 |
| Find all providers in zip 76667 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104381714 | Advanced Foot and Ankle Specialist of Texas Pllc | Clinic/Center | 8919 Cypress Shrub Trl, Richmond, TX 77407-2007 | 2019-02-07 |
| 1558857250 | Foot & Ankle Consultants of Texas, LLC | Clinic/Center | 412 Village Dr Ste 300, Murphy, TX 75094-4634 | 2018-07-05 |
| 1326578287 | Michael G. Krynski Dpm Pllc | Clinic/Center | 3926 Avenue H Ste 17, Rosenberg, TX 77471-2842 | 2017-06-14 |
| 1497107734 | Wichita Falls Podiatry, Pllc | Clinic/Center | 3510 Rugby Ln, Wichita Falls, TX 76310-1721 | 2016-07-11 |
| 1285073510 | Christopher D Schmitt Dpm Pllc | Clinic/Center | 1441 S Midlothian Pkwy Ste 120, Midlothian, TX 76065-5592 | 2013-06-20 |
| 1437403821 | Brent S Wood Dpm Pllc | Clinic/Center | 11645 Angus Rd Ste 4, Austin, TX 78759-4020 | 2012-11-07 |
| 1255683033 | Achilles Foot and Ankle Specialists Pllc | Clinic/Center | 3107 Oak Creek Dr, Ste 120, Austin, TX 78727-3020 | 2012-10-04 |
| 1639421555 | Achilles Foot and Ankle Specialists Pllc | Clinic/Center | 1605 Airport Fwy, Bedford, TX 76021-5730 | 2012-10-03 |
| 1417205568 | Achilles Foot and Ankle Specialists Pllc | Clinic/Center | 4120 Directors Row, Ste D, Houston, TX 77092-8740 | 2012-08-21 |
| 1407102890 | Dr Johnson Foot Prints LLC | Clinic/Center | 117 Highway 90a East, Richmond, TX 77469 | 2012-08-03 |
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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.