JEFFREY ROBERT DUFAULT (NPI# 1275504417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275504417 |
| Entity Type | Individual |
| Full Name | JEFFREY ROBERT DUFAULT |
| Credential | DPM |
| Practice Address |
1201 E 9th St Bonham TX 75418-4059 |
| Mailing Address |
6493 E Camino Grande Anaheim CA 92807-4824 |
| Practice Telephone | 2148574423 |
| Practice Fax Number | 2148570506 |
| Mailing Telephone | 9048918965 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2019-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E4021 | CA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1201 E 9TH ST |
| City | BONHAM |
| State | TX |
| Zip Code | 75418-4059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205453198 | Thomas Garabrant | Dietitian, Registered | 1201 E 9th St, Bonham, TX 75418-4059 | 2020-06-26 |
| 1316561426 | Johnny Blake Williams | Audiologist | 1201 E 9th St, Bonham, TX 75418-4059 | 2020-06-04 |
| 1457911414 | Lillie Heidari Bigvand | Nurse Practitioner | 1201 E 9th St, Bonham, TX 75418-4059 | 2019-06-20 |
| 1326602103 | Johnny Trinh | Social Worker | 1201 E 9th St, Bonham, TX 75418-4059 | 2019-04-26 |
| 1750859138 | Valerie Dunham | Social Worker | 1201 E 9th St, Bonham, TX 75418-4059 | 2018-11-05 |
| 1902381437 | Karaline Marjorie Gormley | Nurse Practitioner | 1201 E 9th St, Bonham, TX 75418-4059 | 2018-10-01 |
| 1912407156 | Latasha Pearl Burkard | Social Worker | 1201 E 9th St, Bonham, TX 75418-4059 | 2018-02-14 |
| 1255865143 | Lesly Johnson | Social Worker | 1201 E 9th St, Bonham, TX 75418-4059 | 2017-04-18 |
| 1740720705 | Sam Rayburn Va | Military Hospital | 1201 E 9th St, Bonham, TX 75418-4059 | 2017-02-24 |
| 1699212035 | Jessica Spofford | Psychologist | 1201 E 9th St, Bldg 24, Bonham Domiciliary, Bonham, TX 75418-4059 | 2017-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437795093 | Custom Dental of Bonham Pllc | Clinic/Center | 2016 State Highway 121 N, Bonham, TX 75418 | 2019-11-19 |
| 1205489283 | Sharon Maria Mathew | Pharmacist | 1201 E 93rd Street, Bonham, TX 75418 | 2019-07-19 |
| 1619474293 | Fannin County Hospital Authority | Surgery | 1211 E 6th St Ste 120, Bonham, TX 75418 | 2018-04-10 |
| 1629514203 | Tmc Bonham Hospital | General Acute Care Hospital | 504 Lispcomb Blvd, Bonham, TX 75418 | 2017-01-06 |
| 1992166227 | Strengthen Your Family Chiropractic, Pllc | Chiropractor | 2110 N Center St., Suite A, Bonham, TX 75418 | 2016-03-15 |
| 1841618626 | Faye Wright | Health Maintenance Organization | 3801 Silo Rd, Bonham, TX 75418 | 2014-03-31 |
| 1861658973 | Ppacta | Nursing Facility/Intermediate Care Facility | 712 County Road 4205, Bonham, TX 75418 | 2008-07-29 |
| 1033381322 | Shanida Roxana Blades | Social Worker | 1201 E 9th Street, Bonham, TX 75418 | 2008-03-27 |
| 1821275470 | Antonio Rafael Lopez-canino | Psychiatry & Neurology | 1201 East Ninth Street, North Texas Veterans Healthcare, Bonham, TX 75418 | 2008-01-25 |
| 1275745465 | Jagdish A. Shah,md | Internal Medicine | 1220 East 6th Street, Bonham, TX 75418 | 2007-05-03 |
| Find all providers in zip 75418 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748656 | Lonestar Foot and Ankle Surgical Associates, Pllc | Podiatrist | 515 E Court St Ste 300, Seguin, TX 78155-5726 | 2020-10-19 |
| 1528665437 | New Horizon Foot and Ankle Specialists | Podiatrist | 2448 Highway 121, Unit 808, Bedford, TX 76021-7317 | 2020-10-04 |
| 1467067603 | Katy Foot & Ankle Pllc | Podiatrist | 21660 Kingsland Blvd # 500, Katy, TX 77450-2511 | 2020-09-14 |
| 1154932812 | Delara Foot and Ankle Pllc | Podiatrist | 1604 Hospital Pkwy Ste 309, Bedford, TX 76022-6931 | 2020-08-14 |
| 1245858265 | Biel Foot & Ankle Specialists Pllc | Podiatrist | 19002 Park Row, Suite 100, Houston, TX 77084 | 2020-07-07 |
| 1013536952 | Select Foot and Ankle Specialists, P.l.l.c. | Podiatrist | 25222 Northwest Fwy Apt 185, Cypress, TX 77429-1038 | 2020-04-10 |
| 1871129445 | Interventional Partners LLC | Podiatrist | 17189 I 45 S Ste 285, Shenandoah, TX 77385-3320 | 2020-03-16 |
| 1073149647 | Interventional Partners LLC | Podiatrist | 18300 Katy Fwy Ste 235, Houston, TX 77094-1521 | 2020-03-16 |
| 1053947622 | Interventional Partners LLC | Podiatrist | 915 Gessner Rd Ste 380, Houston, TX 77024-2519 | 2020-03-16 |
| 1245866813 | Interventional Partners LLC | Podiatrist | 18220 Tomball Pkwy Ste 220, Houston, TX 77070-4370 | 2020-03-16 |
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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.