DR. DAVID ELWOOD DETWILER (NPI# 1104997600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104997600 |
| Entity Type | Individual |
| Full Name | DR. DAVID ELWOOD DETWILER |
| Credential | DPM |
| Practice Address |
1232 Ty Bluff Road Forest VA 24551-1851 |
| Practice Telephone | 4345253045 |
| Mailing Telephone | 4345253045 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
0103000648 | VA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1232 TY BLUFF ROAD |
| City | FOREST |
| State | VA |
| Zip Code | 24551-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649832189 | Shiloh Martin | Counselor | 316 Brook Park Pl Ste 1, Forest, VA 24551 | 2019-07-05 |
| 1528536992 | Crossroads Family Dentistry | Dentist | 14761 Forest Road, Forest, VA 24551 | 2018-11-05 |
| 1265941736 | Michel Kay Gage | Specialist/Technologist | 1062 Daltons Dr, Forest, VA 24551 | 2017-09-27 |
| 1740700186 | Advanced Family Interventions LLC | Case Management | 1047 Vista Park Dr, Ste A, Forest, VA 24551 | 2017-06-27 |
| 1255870093 | Family Preservation Services, Inc | Community/Behavioral Health | 12400 E Lynchburg Salem Turnpike, Forest, VA 24551 | 2017-02-13 |
| 1982150116 | Lee Robinson | Physical Therapy Assistant | 208 Gristmill Ave, Forest, VA 24551 | 2016-08-28 |
| 1790178051 | Amanda Kathleen Hundley | Dental Hygienist | 16862 Forest Rd., Forest, VA 24551 | 2015-03-11 |
| 1134512502 | Christine Elise Deschambault | Dental Hygienist | 16862 Forest Road, Forest, VA 24551 | 2015-03-10 |
| 1922403328 | Lucas Brown | Physical Therapist | 1111 Corporate Park Drive, Suite B, Forest, VA 24551 | 2014-10-28 |
| 1073916334 | Shane R. Claiborne, Dds, Pllc | Dentist | 16862 Forest Rd, Forest, VA 24551 | 2014-10-01 |
| Find all providers in zip 24551 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528598281 | James H Chung | Podiatrist | 2826 Old Lee Hwy Ste 220, Fairfax, VA 22031-4348 | 2017-06-15 |
| 1750730628 | Podiatry Home Care LLC | Podiatrist | 1567 Aspin Ave, Suite B, Norfolk, VA 23502-1532 | 2016-06-10 |
| 1922405174 | Hampton Roads Foot & Ankle Clinic | Podiatrist | 17 Moore Rd, Poquoson, VA 23662-1105 | 2014-12-02 |
| 1295171858 | Thomas John Davidson Iv | Podiatrist | 1331 Hamilton Ter Se, Roanoke, VA 24014-1805 | 2013-05-21 |
| 1881955243 | Foothold Podiatry | Podiatrist | 1417 Claiborne St, Richmond, VA 23220-6431 | 2012-06-01 |
| 1356497622 | Benedict A Profera | Podiatrist | 1589 Innsbrooke Dr, Salem, VA 24153-1785 | 2007-01-26 |
| 1922170919 | Foot Care of Hampton Roadspc | Podiatrist | 4317 Ainslie Ct S, Suffolk, VA 23434-7007 | 2006-11-14 |
| 1689776114 | Rodney A Kander | Podiatrist | 14200 Milltown Rd, Lovettsville, VA 20180-3314 | 2006-09-04 |
| 1255343083 | John G Piacenti | Podiatrist | 1416 Shenandoah Pkwy, Chesapeake, VA 23320-8137 | 2006-08-12 |
| 1447260823 | Audrey Delores Arthur | Podiatrist | 308 Horace Ave, Virginia Beach, VA 23462-2704 | 2006-08-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. DAVID ELWOOD DETWILER.
| 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.