DWAYNE MACIAS (NPI# 1871048074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871048074 |
| Entity Type | Individual |
| Full Name | DWAYNE MACIAS |
| Practice Address |
510 W Maloney Ave Gallup NM 87301-5489 |
| Mailing Address |
15 Apex Dr Highland IL 62249-1282 |
| Practice Telephone | 5054882620 |
| Practice Fax Number | 5054882668 |
| Mailing Telephone | 6186510444 |
| Mailing Fax Number | 6184410482 |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
1619 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
510 W MALONEY AVE |
| City | GALLUP |
| State | NM |
| Zip Code | 87301-5489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871917740 | Apexnetwork New Mexico,llc | Physical Therapist | 510 W Maloney Ave, Gallup, NM 87301-5307 | 2014-02-12 |
| 1255983920 | Deven Vasantlal Soni | Physical Therapist | 510 W Maloney Ave, Gallup, NM 87301-5489 | 2019-07-12 |
| 1265993885 | Natasha Hite | Physical Therapist | 510 W Maloney Ave, Gallup, NM 87301-5489 | 2019-03-27 |
| 1205383155 | Kurtis Mcintire | Physical Therapist | 510 W Maloney Ave, Gallup, NM 87301-5489 | 2016-09-08 |
| 1609248707 | Pamela Pino | Physical Therapist | 510 W Maloney Ave, Gallup, NM 87301-5489 | 2015-10-28 |
| 1184000291 | Janelle Montoya | Physical Therapy Assistant | 510 W Maloney Ave, Gallup, NM 87301 | 2015-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
| 1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
| 1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
| 1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
| Find all providers in zip 87301 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922649359 | Darrel Thompson | Physical Therapist | 2211 Main St, Ne, Los Lunas, NM 87031 | 2019-10-07 |
| 1033686316 | Clark Bearsmith | Physical Therapist | 7849 Tramway Blvd Ne, Albuquerque, NM 87122-2515 | 2018-10-25 |
| 1407376460 | Marisa Raquel Esquivel | Physical Therapist | 9201 Montgomery Blvd Ne Ste 302, Albuquerque, NM 87111-2467 | 2017-06-21 |
| 1407394091 | Rachel Hotze | Physical Therapist | 333 W Cordova Rd Ste 100, Santa Fe, NM 87505-1852 | 2017-02-03 |
| 1285001297 | Therapy 2 Work | Physical Therapist | 2538 Camino Entrada Ste 301, Santa Fe, NM 87507-4927 | 2015-08-25 |
| 1871909069 | George Thomas | Physical Therapist | 2445 Missouri Ave Ste A, Las Cruces, NM 88001-5111 | 2014-07-08 |
| 1730511130 | Krista Leigh Riebli | Physical Therapist | 6700 Jefferson St Ne Bldg E, Albuquerque, NM 87109-4393 | 2013-08-07 |
| 1861730533 | Esther Coker | Physical Therapist | 326 Mckenzie St, Santa Fe, NM 87501-1883 | 2013-01-30 |
| 1659689347 | Taos Sports Medicine Serices LLC | Physical Therapist | 12 Crestview Drive, Ste 1s, Angel Fire, NM 87710-0489 | 2010-09-16 |
| 1942324900 | Marian Clair Bradbury | Physical Therapist | 706-d La Joya, Espanola, NM 87532-2877 | 2007-03-16 |
| 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.