DWAIN R FASO (NPI# 1801155890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801155890 |
| Entity Type | Individual |
| Full Name | DWAIN R FASO |
| Practice Address |
15301 Spectrum Dr Suite # 175 Addison TX 75001-4665 |
| Practice Telephone | 9729809660 |
| Practice Fax Number | 9729809313 |
| Mailing Telephone | 9729809660 |
| Mailing Fax Number | 9729809313 |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2012-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | 206 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
15301 SPECTRUM DR SUITE # 175 |
| City | ADDISON |
| State | TX |
| Zip Code | 75001-4665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720163512 | Orthopartners Inc | Prosthetic/Orthotic Supplier | 15301 Spectrum Dr, Suite 175, Addison, TX 75001-4665 | 2006-10-27 |
| 1720687858 | Kimberley Landry | Nurse Practitioner | 15301 Spectrum Dr, Addison, TX 75001-4665 | 2020-10-20 |
| 1891116869 | Elizabeth L Adkison | Orthotist | 15301 Spectrum Dr, Ste. 175, Addison, TX 75001-4665 | 2013-12-18 |
| 1932520913 | Tracey Nix | Orthotist | 15301 Spectrum Dr, Suite #175, Addison, TX 75001-4665 | 2013-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143772 | Naomi Grace Moats | Speech-Language Pathologist | 5820 Addison Rd, Addison, TX 75001 | 2020-01-22 |
| 1669020467 | Us Med, LLC | Durable Medical Equipment & Medical Supplies | 15455 Dallas Parkway, Suite 600; Office #6015, Addision, TX 75001 | 2019-08-27 |
| 1316592215 | Sunny Boy Pharmacy, LLC | Pharmacy | 4388 Sunbelt Dr, Addision, TX 75001 | 2019-08-07 |
| 1538714779 | Tarpon Pllc | Physical Medicine & Rehabilitation | 17051 N. Dallas Parkway, Suite 320, Addison, TX 75001 | 2019-08-05 |
| 1235782251 | Aliah T Green | Speech-Language Pathologist | 15820 Addison Road, Addison, TX 75001 | 2019-07-18 |
| 1902376254 | Kendall Leann Chambers | Counselor | 15851 Dallas Parkway, Suite 600, Addison, TX 75001 | 2018-11-29 |
| 1053800391 | U S Anesthesia Partners of Texas, Pa | Physician Assistant | 17051 Dallas Pkwy Ste 310, Addison, TX 75001 | 2018-05-02 |
| 1528561719 | Relinda Lee Longan | Licensed Vocational Nurse | 4820 Westgrove Dr, # 903, Addison, TX 75001 | 2018-03-14 |
| 1306363338 | Margaret Weiss | Social Worker | Steven A Cohen Military Family Clinic At Metrocare, 16160 Midway Rd, Suite 218, Addison, TX 75001 | 2017-08-30 |
| 1508380759 | Dallas Sci Recovery Inc | Clinic/Center | 15046 Beltway Dr, Addison, TX 75001 | 2017-07-31 |
| Find all providers in zip 75001 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891116869 | Elizabeth L Adkison | Orthotist | 15301 Spectrum Dr, Ste. 175, Addison, TX 75001-4665 | 2013-12-18 |
| 1932520913 | Tracey Nix | Orthotist | 15301 Spectrum Dr, Suite #175, Addison, TX 75001-4665 | 2013-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869225 | Anna Christine Brown | Orthotist | 12880 Hillcrest Rd Ste J216, Dallas, TX 75230-1532 | 2020-10-22 |
| 1861009912 | Sarah Spinelli | Orthotist | 555 D Round Rock West Drive, Suite 100, Round Rock, TX 78681 | 2020-09-23 |
| 1639713597 | Amanda Coldren | Orthotist | 6011 Harry Hines Blvd Ste 302, Dallas, TX 75235-5386 | 2019-11-04 |
| 1184266785 | Duran H Pardue | Orthotist | 6011 Harry Hines Blvd Fl 2, Dallas, TX 75235-5386 | 2019-10-15 |
| 1326692351 | Steven Gomez Herrera Sr. | Orthotist | 7410 John Smith Dr Ste 213, San Antonio, TX 78229-6000 | 2019-07-29 |
| 1669034831 | Madeline Maya Gougeon | Orthotist | Hope Orthotics, LLC - Attn: Maya Gougeon, Lo, 230 Spring Hill Drive, Suite 335, Spring, TX 77386-2388 | 2019-07-08 |
| 1275048852 | Phuoc Nguyen | Orthotist | 1721 W Plano Pkwy Ste 212, Plano, TX 75075 | 2017-12-05 |
| 1316452147 | Abigail Catherine Genet | Orthotist | 6011 Harry Hines Blvd Suite V5.400, Dallas, TX 75390-0001 | 2017-12-01 |
| 1407370414 | Katelyn Suzanne Cummings | Orthotist | 230 Spring Hill Dr Ste 335, Spring, TX 77386-2388 | 2017-08-01 |
| 1154843647 | Nicholas Robison Brown | Orthotist | 6011 Harry Hines Blvd Ste V2302, Dallas, TX 75235-5386 | 2017-07-17 |
| Find all providers with the same taxonomy | ||||
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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.