John D Dewalt (NPI# 1508869702, PAC ID# 2062475098) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1508869702 |
| PAC ID by PECOS | 2062475098 |
| Professional Enrollment ID | I20041110000345 |
| Full Name | John D Dewalt |
| Address |
144 E Main St Logan OH 43138-1328 |
| Gender | M |
| Credential | DO |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | VASCULAR SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360035 | MOUNT CARMEL WEST |
| 170012 | SALINA REGIONAL HEALTH CENTER |
| 360014 | OHIOHEALTH O'BLENESS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 144 E Main St, Logan, OH 43138-1328 | ||
| 400 S Santa Fe, Salina Regional Emergency Physicians, Salina, KS 67401-4144 | 7854527163 | SALINA REGIONAL HEALTH CENTER INC |
| 400 S Santa Fe Ave, Salina Regional Hospitalist Services, Salina, KS 67401-4144 | 8778547742 | SALINA REGIONAL HEALTH CENTER INC |
| 501 S Santa Fe, 100 Salina Womens Clinic, Salina, KS 67401-4189 | 7858277996 | SALINA REGIONAL HEALTH CENTER INC |
| 501 S Santa Fe Ave, Salina, KS 67401-4189 | SALINA REGIONAL HEALTH CENTER INC |
| Street Address |
144 E MAIN ST |
| City | LOGAN |
| State | OH |
| Zip | 43138-1328 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leslie Ann Burgie | Nurse Practitioner | 1220 W Hunter St, Logan, OH 43138-1012 | |
| Charles R Keller | Family Medicine | Hocking Valley Medical Group, Inc. | 1383 W Hunter St, Logan, OH 43138-1013 |
| Tarek M Aziz | Psychiatry | Hocking Valley Medical Group, Inc. | 1389 W Hunter St, Logan, OH 43138-1013 |
| Pramoda Fatehchand | Physician Assistant | Hocking Valley Medical Group, Inc. | 1383 W Hunter St, Logan, OH 43138-1013 |
| Kimberly N Gregg-cornell | Physical Therapy | First Settlement Physical Therapy | 655 W Hunter St, Logan, OH 43138-1108 |
| Scott J Anzalone | Family Medicine | 225 E Main St, Logan, OH 43138-1305 | |
| Paula Jayne Fortner | Nurse Practitioner | 225 E Main St, Logan, OH 43138-1305 | |
| Keith Allen Taulbee | Chiropractic | 75 W 2nd St, Logan, OH 43138-1886 | |
| Amanda Downs Davis | Nurse Practitioner | Hocking Valley Medical Group, Inc. | 819 State Route 664 N, Logan, OH 43138-8540 |
| David M Vaziri | Orthopedic Surgery | Hocking Valley Medical Group, Inc. | 819 State Route 664 N, Logan, OH 43138-8540 |
| Find all physicians in zip 43138 | |||
| City | LOGAN |
| Zip Code | 43138 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | LOGAN + VASCULAR SURGERY |
Please comment or provide details below to improve the information on John D Dewalt.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.