GEORGE EDWIN DAVIS (NPI# 1013005925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013005925 |
| Entity Type | Individual |
| Full Name | GEORGE EDWIN DAVIS |
| Credential | M.D. |
| Practice Address |
1002 Idlewilde Ln Se Albuquerque NM 87108-3446 |
| Mailing Address |
933 Bradbury Dr Se Ste 2222 Albuquerque NM 87106-4375 |
| Practice Telephone | 5052707479 |
| Mailing Telephone | (505) 272-3120 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
NM88-19 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | S5731 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5312 Jaguar Dr, Santa Fe, NM 875071827 | 5058200262 | 5058209220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548727613 | George Scott Davis II | Dietitian, Registered | 20 Bristol Cir, Rock Hill, NY 12775-6002 | 2019-02-25 |
| 1770032211 | George Evan Davis Jr. | Massage Therapist | 750 D Kapahulu Avenue, Honolulu, HI 96816 | 2016-09-26 |
| 1093129934 | George Edward Davis | Non-emergency Medical Transport (VAN) | 334 San Jose Dr, Toledo, OH 43615-6108 | 2014-06-18 |
| 1457786618 | George Rae Davis | Counselor | 315 N. Second Street, Yakima, WA 98901 | 2013-09-06 |
| 1225339856 | George Davis | Internal Medicine | 2203 Farington Rd, Wichita Falls, TX 76308-2043 | 2010-11-12 |
| 1376765008 | George Arnold Davis Jr. | Dentist | 1930 Village Center Cir Ste 12, Las Vegas, NV 89134-6238 | 2007-05-03 |
| 1538238498 | George Max Davis | Dentist | 14241 Ambaum Blvd Sw Suite R, Burien, WA 98166-1421 | 2006-11-07 |
| 1194813170 | George Gregory Davis | Chiropractor | 101 Mountain Brook Dr Ste 104, Canton, GA 30115-9017 | 2006-10-11 |
| 1962505800 | George Anthony Davis | Social Worker | 286 Liberty St, Newburgh, NY 12550-4623 | 2006-09-06 |
| 1437160199 | George Michael Davis | Dentist | 7915 Hwy 165, Columbia, LA 71418 | 2006-08-10 |
| Street Address |
1002 IDLEWILDE LN SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87108-3446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274393 | Aubrey Bunnenberg | Behavior Technician | 114 Pennsyvlania St. Ne Apt. 1, Albuquerque, NM 87108 | 2020-08-06 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1457990046 | Christine Lovato | Registered Nurse | Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 | 2019-12-30 |
| 1265074405 | Andrew Jacob Reuter | Pharmacist | 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 | 2019-10-09 |
| 1518517325 | Lillian Abeyta | Technician | 1501 San Pedro Dr Se., Albuquerque, NM 87108 | 2019-09-13 |
| 1962970061 | Donald Borrego | Occupational Therapy Assistant | 5200 Copper Ne, #7, Albuquerque, NM 87108 | 2018-11-06 |
| 1154808012 | Catalina Castro | Social Worker | 209 San Pablo Se, Albuquerque, NM 87108 | 2018-07-24 |
| 1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
| 1467981860 | Jennifer Martinez | Behavior Technician | 628 Espanola Se, Albuquerque, NM 87108 | 2017-06-08 |
| 1457892465 | J Dowd Counseling LLC | Counselor | 514 Monroe Street Se, Albuquerque, NM 87108 | 2017-03-10 |
| Find all providers in zip 87108 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891318747 | B2 Healthcare Group LLC | Psychiatry & Neurology | 8206 Louisiana Blvd Ne Ste A, Albuquerque, NM 87113-1738 | 2020-05-27 |
| 1649663535 | Gabriela Sanchez | Psychiatry & Neurology | Presbyterian Kaseman Hospital, 8300 Constitution Avenue Ne, Albuquerque, NM 87110 | 2015-03-17 |
| 1033401831 | Gabriel Carlos-william Monthan | Psychiatry & Neurology | 241 Laguayra Dr Ne, Albuquerque, NM 87108-1723 | 2011-05-11 |
| 1851582886 | Michael Herman Anikeev | Psychiatry & Neurology | 3901 Indian School Rd Ne Apt D102, Albuquerque, NM 87110-3852 | 2007-08-06 |
| 1669529210 | Susan Danto | Psychiatry & Neurology | 7801 Academy Ne, Bldg. 1, Suite 202, Albuquerque, NM 87109 | 2007-01-05 |
| 1033271390 | Rosemary Hunter | Psychiatry & Neurology | 5310 Sequoia Rd Nw, Albuquerque, NM 87120-1249 | 2006-12-14 |
| 1740381268 | Daniel Kerlinsky | Psychiatry & Neurology | 7007 Wyoming Ne Suite E-3, Albuquerque, NM 87109 | 2006-09-26 |
| 1568442135 | Jeffrey Raymond Mitchell | Psychiatry & Neurology | 8312 Kaseman Ct Ne, Presbyterian, Outpatient Child Bh Clinic, Albuquerque, NM 87110-7639 | 2006-01-19 |
| 1902287428 | Karla Miranda | Psychiatry & Neurology | Msc, 1 University of New Mexico, Albuquerque, NM 87131 | 2015-06-10 |
| 1174848006 | Kimothi Cain | Psychiatry & Neurology | 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2010-04-03 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87108 |
Please comment or provide details below to improve the information on GEORGE EDWIN DAVIS.
| 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.