DR. DAVID D DULL (NPI# 1942206875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942206875 |
| Entity Type | Individual |
| Full Name | DR. DAVID D DULL |
| Credential | D.P.M. |
| Practice Address |
4442 Logan Way Youngstown OH 44505-1739 |
| Practice Telephone | 3307590904 |
| Practice Fax Number | 3307592201 |
| Mailing Telephone | 3307590904 |
| Mailing Fax Number | 3307592201 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2008-03-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
36-001383 | OH | Podiatric Medicine & Surgery Service Providers |
| N | 213ER0200X |
Podiatrist Specialization: Radiology |
36-001383 | OH | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
36-001383 | OH | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
36-001383 | OH | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0022979 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861982076 | David Lynn Dull | Technician | 1002 Pico Blvd, Santa Monica, CA 90405-1416 | 2018-05-14 |
| 1265406235 | David L Dull | Anesthesiology | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9756 | 2006-02-15 |
| Street Address |
4442 LOGAN WAY |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44505-1739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497008361 | David D. Dull Dpm LLC | Podiatrist | 4442 Logan Way, Youngstown, OH 44505-1739 | 2012-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558924365 | Kristina Terlecki | Massage Therapist | 32 Goldie Rd., Youngstown, OH 44505 | 2019-04-17 |
| 1669937108 | Melissa Ann Brian | Registered Nurse | 615 Churchill - Hubbard Rd., Youngstown, OH 44505 | 2019-02-08 |
| 1902376742 | Shamara Golden | Specialist/Technologist | 3415 5th Ave, Youngstown, OH 44505 | 2018-12-04 |
| 1366912933 | Valor Recovery Center | Substance Abuse Rehabilitation Facility | 45 North Canfield Niles Road, Youngstown, OH 44505 | 2018-11-27 |
| 1104333798 | Sherrell Lynn Moorer | Case Manager/Care Coordinator | 3164 Eastview Drive, Youngstown, OH 44505 | 2018-01-04 |
| 1154875888 | Aba Therapy Solutions | Community/Behavioral Health | 125 Churchill-hubbard Rd, Youngstown, OH 44505 | 2016-08-10 |
| 1871721530 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 200 Goldie Road, Youngstown, OH 44505 | 2009-07-01 |
| 1538254149 | Robert F. Accordino | Physical Therapist | 4531 Belmont Ave., Suite 5, Youngstown, OH 44505 | 2006-10-03 |
| 1659465862 | Union Eyes Optical, Inc | Technician/Technologist | 229 Churchill-hubbard Rd, Youngstown, OH 44505 | 2006-10-03 |
| 1124080239 | Giovanna Vinci-khoury | Specialist | 4970 Belmont Ave, Youngstown, OH 44505 | 2006-04-04 |
| Find all providers in zip 44505 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023361318 | Lara S Poduska Dpm LLC | Podiatrist | 24816 Aurora Rd Ste A, Bedford Heights, OH 44146-6908 | 2012-10-24 |
| 1598037467 | David L. Beatty Dpm PC | Podiatrist | 125 N Water St, Paulding, OH 45879-1245 | 2012-02-07 |
| 1750677829 | Elizabeth Gero | Podiatrist | 10701 East Blvd # 112bw, Cleveland, OH 44106-1702 | 2011-06-27 |
| 1841433703 | Home Visit Podiatrists, Inc. | Podiatrist | 2010 Wayland Ave, Cincinnati, OH 45212-3708 | 2009-04-08 |
| 1023250248 | Podiatry Home Health Care | Podiatrist | 5683 Pearl Rd, Parma, OH 44129-2528 | 2009-04-02 |
| 1982850525 | Richard A Raabe Dpm Inc | Podiatrist | 128 Wertz Ave Nw Ste A, Canton, OH 44708 | 2008-08-14 |
| 1225214125 | Louis L. Endress Dpm | Podiatrist | 2914 Cleveland Rd, Wooster, OH 44691-1655 | 2008-01-10 |
| 1457533622 | James D. Robinette, Dpm, Inc. | Podiatrist | 5932 Colerain Ave, Cincinnati, OH 45239-6414 | 2007-11-29 |
| 1336352038 | Laser Foot Care Center, Inc | Podiatrist | 2495 Olentangy Dr, Akron, OH 44333-2831 | 2007-05-08 |
| 1932237922 | Thomas Joseph Javorsky | Podiatrist | 1400 S Hubbard Rd, Lowellville, OH 44436-9411 | 2007-03-01 |
| Find all providers with the same taxonomy | ||||
| City | YOUNGSTOWN |
| Zip Code | 44505 |
Please comment or provide details below to improve the information on DR. DAVID D DULL.
| 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.