Active NPI
Travis J Dwyer, D.P.M
- Foot & Ankle Surgery Podiatrist
- Wilmington, DE
National Provider Identifier
1083811541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E1-0000198
- Practice address
- 1010 N Bancroft Pkwy
Suite 12
Wilmington, DE 19805-2690 - Phone
- (302) 658-1129
- Fax
- (302) 658-7646
- NPI assigned
- Jun 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC006011 | PA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | P00550 | MD | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E1-0000198 | DE | Primary |
Addresses
Primary practice location
1010 N Bancroft Pkwy
Suite 12
Wilmington, DE 19805-2690
Mailing address
1010 N Bancroft Pkwy
Suite 12
Wilmington, DE 19805-2690
Phone (302) 658-1129
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1-0000198 | DE | MD | Foot & Ankle Surgery Podiatrist |
| P00550 | MD | MD | Foot & Ankle Surgery Podiatrist |
| SC006011 | PA | MD | Foot & Ankle Surgery Podiatrist |
| 01493 | MD | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Howard L. Schultheiss, Jr., DPM, P.a. | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
437 S Main St
Bel Air, MD 21014
Phone (410) 836-0131
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Bel Air, MD
- NPI 1902138993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464307200000",
"number": "1083811541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 N BANCROFT PKWY",
"address_2": "SUITE 12",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198052690",
"telephone_number": "302-658-1129",
"fax_number": "302-658-7646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 N BANCROFT PKWY",
"address_2": "SUITE 12",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198052690",
"telephone_number": "302-658-1129",
"fax_number": "302-658-7646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWYER",
"first_name": "TRAVIS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.P.M",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-28",
"last_updated": "2016-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC006011",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MD",
"license": "P00550",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "DE",
"license": "E1-0000198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.