Dustin W Smith (NPI# 1164468344, PAC ID# 4688636111) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1164468344 |
| PAC ID by PECOS | 4688636111 |
| Professional Enrollment ID | I20041027001243 |
| Full Name | Dustin W Smith |
| Organization Legal Name | FOOT CLINIC OF EAST TEXAS, PC |
| Address |
1108 S Buffalo Canton TX 75103-2304 |
| Phone Number | 9035932309 |
| Gender | M |
| Credential | DPM |
| Graduation Year | 2003 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 1052307345 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450102 | MOTHER FRANCES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1108 S Buffalo, Canton, TX 75103-2304 | 9035932309 | FOOT CLINIC OF EAST TEXAS, PC |
| 1324 Us Hwy 271 N, Gilmer, TX 75644-5241 | 9038434509 | FOOT CLINIC OF EAST TEXAS, PC |
| 1101 S Main St, Lindale, TX 75771-6266 | 9038828829 | FOOT CLINIC OF EAST TEXAS, PC |
| 115 S Barron, Rusk, TX 75785-1253 | 9036832451 | FOOT CLINIC OF EAST TEXAS, PC |
| Organization Legal Name | FOOT CLINIC OF EAST TEXAS, PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel H Phelps | Podiatry | Foot Clinic of East Texas, PC | 321 S Fannin, Tyler, TX 75702 |
| Robert D Phelps | Podiatry | Foot Clinic of East Texas, PC | 2001 S Henderson, Kilgore, TX 75662-3556 |
| Street Address |
1108 S BUFFALO |
| City | CANTON |
| State | TX |
| Zip | 75103-2304 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jimmy W Dailey | Family Medicine | Dailey Medical Clinic | 1108 S Buffalo, Canton, TX 75103-2304 |
| Melissa Williams | Nurse Practitioner | Dailey Medical Clinic | 1108 S Buffalo, Canton, TX 75103-2304 |
| Angela C Whitton | Physician Assistant | Dailey Medical Clinic | 1108 S Buffalo, Canton, TX 75103-2304 |
| Shannon E Phillips Jr. | Nurse Practitioner | Dailey Medical Clinic | 1108 S Buffalo, Canton, TX 75103-2304 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristofer T Ingram | Chiropractic | Ingram Health Care PC | 921 W Dallas St, Canton, TX 75103-1009 |
| Tina M Ingram | Chiropractic | Ingram Health Care PC | 921 W Dallas St, Canton, TX 75103-1009 |
| Himanshu Kaushik | Physical Therapy | A Medical Advantage Healthcare Systems Associated | 300 S Main St, Canton, TX 75103-1439 |
| Robin G Fincher | Certified Nurse Midwife | 602 S Trade Days Blvd, Canton, TX 75103-1826 | |
| R A Lester Iii | Family Medicine | 1108 S Buffalo St, Diabetic Renewal Ctr, Canton, TX 75103-2304 | |
| Betsy Jill Chappell | Nurse Practitioner | Etmc Physician Group, Inc. | 406 E Hwy 243, Canton, TX 75103-2409 |
| Moises Adrian Sidransky | Pain Management | Etmc Physician Group, Inc. | 406 E Hwy 243, Canton, TX 75103-2409 |
| John Turner | General Practice | Etmc Physician Group, Inc. | 406 E Hwy 243, Canton, TX 75103-2409 |
| Jonathan W Pino | Family Medicine | 301 E State Hwy 243 121, Canton Xpressmed, Canton, TX 75103-2418 | |
| James Darryl Rosson | Optometry | 603e Hwy 243, Canton, TX 75103-2420 | |
| Find all physicians in zip 75103 | |||
| City | CANTON |
| Zip Code | 75103 |
| Specialty | PODIATRY |
| City + Specialty | CANTON + PODIATRY |
Please comment or provide details below to improve the information on Dustin W Smith.
| 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.