DR. JOHN DUFFY DEWALT


Address: 144 East Main Street, Logan, OH 43138
Phone: 7403851881

DR. JOHN DUFFY DEWALT (NPI# 1508869702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508869702
Entity Type Individual
Full Name DR. JOHN DUFFY DEWALT
Credential D.O.
Practice Address 144 East Main Street
Logan
OH 43138
Mailing Address 144 E Main St
Logan
OH 43138
Practice Telephone 7403851881
Practice Fax Number 7403851875
Mailing Telephone 7403851881
Mailing Fax Number 7403851875
Enumeration Date 2005-05-23
Last Update Date 2016-01-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) 34002686D OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 0365073 05
OH BWC PROVIDER NUMBER 1269034 01
OH MEDICARE RAILROAD CD3781 01

Office Location

Street Address 144 EAST MAIN STREET
City LOGAN
State OH
Zip Code 43138

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639536089 Southeastern Surgery Clinic/Center 144 East Main Street, Logan, OH 43138 2016-01-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538667696 Kelsey Whalen Social Worker 541 Sr 93 N, Suite C, Logan, OH 43138 2018-01-24
1144728205 Raeann Harry-boothe Counselor 313 Chieftain Dr, Logan, OH 43138 2018-01-24
1336661784 Megan Correll Nurse Practitioner 541 Sr 664n, Suite C, Logan, OH 43138 2017-07-07
1841735800 Coler Drug Logan, Ltd Durable Medical Equipment & Medical Supplies 21 Hocking Mall, Logan, OH 43138 2016-12-30
1932515418 Melissa O'harra-brown Nurse Practitioner 541 Sr 664 N, Suite C, Logan, OH 43138 2014-07-07
1790198950 Matthew R Williams Audiologist 1323 West Hunter St., Logan, OH 43138 2014-06-05
1194138651 Diles Logan Hearing Center, L.L.C. Audiologist 1323 West Hunter Street, Logan, OH 43138 2014-06-03
1205252210 Shaun Crisp Occupational Therapy Assistant 601 Ohio 664, Hocking Valley Community Hospital, Logan, OH 43138 2014-03-14
1467780056 Natalie Simpson Licensed Practical Nurse 583 E Second St, Logan, OH 43138 2009-11-20
1821243262 Angela Rose Hartbarger Counselor 541 St. Rt. 664, Suite C, Logan, OH 43138 2008-11-26
Find all providers in zip 43138

Taxonomy Information

Taxonomy Code 208G00000X
Grouping Allopathic & Osteopathic Physicians
Classification Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003371188 Christina Marie Babbs Thoracic Surgery (Cardiothoracic Vascular Surgery) 48 Executive Dr Ste C, Norwalk, OH 44857-2492 2019-02-04
1265911234 Andres Jadue Thoracic Surgery (Cardiothoracic Vascular Surgery) 3312 Aberdeen Rd, Shaker Heights, OH 44120-3328 2018-08-10
1598259863 Bhalinder Dhaliwal Thoracic Surgery (Cardiothoracic Vascular Surgery) Cleveland Clinic 9500, Euclid Avenue/na-23, Cleveland, OH 44195-0001 2018-06-19
1205348307 Antonio Panza Thoracic Surgery (Cardiothoracic Vascular Surgery) Department of Surgery 231 Albert Sabin Way, Cincinnati, OH 45267-0001 2017-10-30
1366972432 Per Wierup Thoracic Surgery (Cardiothoracic Vascular Surgery) 9500 Euclid Ave # Deskj4-1, Cleveland, OH 44195-0001 2017-06-12
1952776247 Hani Kamal Najm Thoracic Surgery (Cardiothoracic Vascular Surgery) 9500 Euclid Ave # M41-02, Cleveland, OH 44195-0001 2015-12-11
1205202967 Anurag Kaw Thoracic Surgery (Cardiothoracic Vascular Surgery) 27020 Cedar Rd Apt 406, Beachwood, OH 44122-1133 2015-08-18
1760872659 John Albers Thoracic Surgery (Cardiothoracic Vascular Surgery) 16 Diplomat Dr, Cincinnati, OH 45215-2073 2015-01-29
1508205048 Shrey Patel Thoracic Surgery (Cardiothoracic Vascular Surgery) 9500 Euclid Ave Ste J4-1, Cleveland, OH 44195-1994 2013-06-18
1457797847 Charles D. Shook Thoracic Surgery (Cardiothoracic Vascular Surgery) 718 Glendale Blvd, Mansfield, OH 44907-2226 2013-05-13
Find all providers with the same taxonomy

Competitor

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City LOGAN
Zip Code 43138

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Dataset Information

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.

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