DWAYNE LEONARD HIGHSMITH (NPI# 1619951613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619951613 |
| Entity Type | Individual |
| Full Name | DWAYNE LEONARD HIGHSMITH |
| Credential | DPM |
| Practice Address |
770 Mason St Fl 2d Vacaville CA 95688 |
| Mailing Address |
Po Box 255228 Sacramento CA 95865-5228 |
| Practice Telephone | 7074274900 |
| Practice Fax Number | 7074545901 |
| Mailing Telephone | 8004700071 |
| Mailing Fax Number | 7074545901 |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2020-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | E3376 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000E33760 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2702 Low Ct, Fairfield, CA 945349771 | 7074274900 | 7074322607 |
| Street Address |
770 MASON ST FL 2D |
| City | VACAVILLE |
| State | CA |
| Zip Code | 95688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917165 | Katelyn Renee Watson | Military Health Care Provider | 101 Bodin Drive, Bldg 777, Fairfield, CA 95688 | 2020-06-23 |
| 1043842917 | Dr. Page Hudson Dental Corporation | Dentist | 1671 East Monte Vista Ave, Suite 200, Vacaville, CA 95688 | 2020-02-10 |
| 1356981534 | Demi Renae Holder | Behavior Technician | 6801 Leisure Town Rd Apt. 153, Vacaville, CA 95688 | 2020-01-15 |
| 1073089074 | Sukhdeep Kaur | Nurse Practitioner | 679 E Monte Vista Ave #140, Vacaville, CA 95688 | 2018-10-17 |
| 1114419553 | Sharlie Mccurry | Behavior Technician | 3333 Vaca Valley Pkwy, Suite 900, Vacaville, CA 95688 | 2018-06-01 |
| 1720577307 | Ana Lynch | Behavioral Analyst | 250 Grape St, Vacaville, CA 95688 | 2018-05-09 |
| 1508382011 | Esther's Empowerment Leadership Institute, LLC | Health Educator | 227 Fairoaks Drive, Vacaville, CA 95688 | 2017-08-16 |
| 1023534807 | Jean Allyson Garcia | Counselor | 1286 Callen Street, Vacaville, CA 95688 | 2017-08-14 |
| 1437692043 | Ahmed Abdi Ali | Pharmacist | 1 Quality Drive, Mob-b 1st Flr, 24 Hrs Pharmacy, Vacaville, CA 95688 | 2016-11-30 |
| 1275961807 | Laura Hitt | Dietitian, Registered | 107 Blackwood Ct, Vacaville, CA 95688 | 2013-10-16 |
| Find all providers in zip 95688 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134400492 | Sarah L Mina | Podiatrist | 600 Nut Tree Rd Ste 110, Vacaville, CA 95687-4656 | 2011-08-31 |
| 1528042520 | Maria Jane Highsmith | Podiatrist | 1001 Nut Tree Rd, Suite 220, Vacaville, CA 95687 | 2005-12-02 |
| 1053365999 | Randall D Osborn | Podiatrist | 1001 Nut Tree Rd, Ste 220, Vacaville, CA 95687 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884610 | South Bay Foot & Ankle Specialists, Inc. | Podiatrist | 5565 Grossmont Center Dr Ste 510, La Mesa, CA 91942-3024 | 2020-09-07 |
| 1811512866 | Ankle & Foot Care Center Inc | Podiatrist | 15141 Whittier Blvd Ste 330, Whittier, CA 90603-2168 | 2020-06-15 |
| 1912528928 | Clement Podiatry PC | Podiatrist | 505 Sansome St Ste 850, San Francisco, CA 94111-3114 | 2020-04-30 |
| 1942834775 | Felix Sigal Dpm A Professional Corporation | Podiatrist | 201 S Alvarado St Ste 819, Los Angeles, CA 90057-2391 | 2020-03-02 |
| 1033758339 | Yosemite Bone and Joint Inc | Podiatrist | 1199 Delbon Ave Ste 1, Turlock, CA 95382-2006 | 2020-01-03 |
| 1194361634 | K David Flora Dpm Inc | Podiatrist | 1086 N Cherry St, Tulare, CA 93274-2251 | 2019-11-19 |
| 1902457963 | Silverlake Virgil Surgery Center | Podiatrist | 3367 W 1st St Ste 204, Los Angeles, CA 90004-6080 | 2019-09-21 |
| 1134778178 | Mohamad Belal Sharif | Podiatrist | Va Loma Linda 11201 Benton St, Loma Linda, CA 92357-0001 | 2019-09-11 |
| 1972159366 | Bay Area Surgical Specialists Inc A Medical Corporation | Podiatrist | 6061 N 1st St Ste 103, Fresno, CA 93710-5470 | 2019-08-13 |
| 1790331189 | Bay Area Surgical Specialists Inc A Medical Corporation | Podiatrist | 774 N Prospect St Ste B, Porterville, CA 93257-1941 | 2019-08-13 |
| Find all providers with the same taxonomy | ||||
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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.