JASON DAVIS (NPI# 1023632205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023632205 |
| Entity Type | Individual |
| Full Name | JASON DAVIS |
| Credential | PA-C |
| Practice Address |
590 Court St Keene NH 03431-1719 |
| Practice Telephone | 9784073044 |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-09-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1635 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356870927 | Jason Thomas Davis | Counselor | 2530 Crawford Ave Ste 208, Evanston, IL 60201-4959 | 2017-06-07 |
| 1124443486 | Jason Davis | Physical Therapy Assistant | 1840 Hudson Hollow Rd, Stephens City, VA 22655-3330 | 2014-02-24 |
| 1306133392 | Jason O. Davis | Dentist | 4552 Kings Hwy, Brooklyn, NY 11234-2028 | 2011-06-29 |
| 1023322633 | Jason Brandon Davis | Emergency Medical Technician, Basic | 172 Elvington Ln, Lexington, SC 29073-8875 | 2010-08-06 |
| 1285809475 | Jason Evan Davis | Surgery | 150 Bergen Avenue, Uh Division of Vascular Surgery, Newark, NJ 07103 | 2008-04-28 |
| 1467424606 | Jason M Davis | Pediatrics | 183 Cherry St, New Canaan, CT 06840-4820 | 2006-02-02 |
| 1174513832 | Jason Davis | Chiropractor | 16 Highland Spring Rd, Lewiston, ME 04240-3856 | 2005-10-25 |
| 1174029870 | Jason Davis | General Practice | 619 19th St South, Jt N338, Birmingham, AL 35071 | 2018-04-02 |
| 1205352614 | Jason Michael Davis | Physical Therapy Assistant | 13220 Usf Laurel Drive, Tampa, FL 33612 | 2017-08-17 |
| 1801321120 | Jason Davis | Optometrist | 2660 Sw Immanuel Dr, Palm City, FL 34990-2738 | 2017-04-24 |
| Street Address |
590 COURT ST |
| City | KEENE |
| State | NH |
| Zip Code | 03431-1719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477558385 | Marika L Henegan | Family Medicine | 590 Court St, Dartmouth-hitchcock Keene, Keene, NH 03431-1719 | 2005-06-16 |
| 1558978791 | Regina C Carideo | Nurse Practitioner | 590 Court St, Keene, NH 03431 | 2020-09-30 |
| 1336763861 | Alisha Marie Russell | Nurse Practitioner | 590 Court St, Keene, NH 03431-1719 | 2020-06-01 |
| 1518589928 | Brynne E Underhill | Nurse Practitioner | 590 Court St, Keene, NH 03431 | 2020-05-08 |
| 1841829926 | Madeline Lucille Sudekum | Registered Nurse | 590 Court St, Keene, NH 03431-1719 | 2020-04-02 |
| 1558997627 | Ashley C Bombicino | Dietitian, Registered | 590 Court St, Keene, NH 03431 | 2020-03-20 |
| 1568004307 | Samantha M Barry | Nurse Practitioner | 590 Court St, Keene, NH 03431-1719 | 2019-10-14 |
| 1811550734 | Benjamin M Wilkie | Physician Assistant | 590 Court St, Keene, NH 03431-1719 | 2019-04-16 |
| 1457830903 | Kathryn Macy Carson | Nurse Practitioner | 590 Court St, Keene, NH 03431-1719 | 2018-08-07 |
| 1639657885 | Laura L Reyor | Nurse Practitioner | 590 Court St, Keene, NH 03431-1719 | 2018-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153443 | County of Cheshire | Case Manager/Care Coordinator | 12 Court Street, Finance Department, Keene, NH 03431 | 2020-10-29 |
| 1316506686 | Lynn Marie Noonan | Dental Hygienist | 69v Island Street, Keene, NH 03431 | 2019-06-11 |
| 1467925164 | Barbara B. Dematteo, Pt | Physical Therapist | 70 Island Street, Keene, NH 03431 | 2019-01-04 |
| 1275065591 | Kyle Harriman James | Emergency Medicine | 590 Court St., Keene, NH 03431 | 2017-03-28 |
| 1932584372 | Sarah Gornall | Occupational Therapist | 298 Main St., Keene, NH 03431 | 2015-07-28 |
| 1457748618 | Cassandra Curtis | Massage Therapist | 103 Roxbury Street, Suite # 200d, Keene, NH 03431 | 2015-04-24 |
| 1518354455 | Allen Penrod | Counselor | 170 Emerald Street, Suite 203, Keene, NH 03431 | 2015-04-17 |
| 1447652615 | Cheshire Health Services Inc | Clinic/Center | 149 Emerald St Ste L, Keene, NH 03431 | 2014-09-19 |
| 1053710541 | Louise Howlett | Marriage & Family Therapist | 19 Federal St., Keene, NH 03431 | 2014-08-20 |
| 1861816076 | Christine Fleming | Physical Therapy Assistant | 197 Water Street, Keene, NH 03431 | 2014-02-07 |
| Find all providers in zip 03431 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922170083 | Christine Loraine Yip | Physician Assistant | 27905 Carlyle Springs Rd, Keene, CA 93531-1313 | 2006-11-14 |
| 1073697595 | Abigail Elizabeth Tattersall | Physician Assistant | 8 Optical Ave, Keene, NH 03431-4319 | 2006-10-24 |
| 1770697005 | Linda Bean | Physician Assistant | 351 Winchester St, Keene, NH 03431-3930 | 2006-08-17 |
| 1477190742 | Thatcher Friant | Physician Assistant | 580 Court St, Keene, NH 03431-1729 | 2019-12-05 |
| 1811550734 | Benjamin M Wilkie | Physician Assistant | 590 Court St, Keene, NH 03431-1719 | 2019-04-16 |
| 1699249375 | Kathryn Hartnett | Physician Assistant | 351 Winchester St, Keene, NH 03431-3930 | 2019-01-16 |
| 1043784077 | Russell Arpin | Physician Assistant | 590 Court Street, Dartmouth Hitchcock - Orthopaedics, Keene, NH 03431 | 2019-01-12 |
| 1083100341 | Marian Alexa Corcoran | Physician Assistant | 590 Court Street, Dartmouth Hitchcock - Orthopaedics, Keene, NH 03431 | 2018-07-10 |
| 1124551718 | Amy T Neal | Physician Assistant | 580 Court Street, The Cheshire Medical Center, Keene, NH 03431 | 2017-04-10 |
| 1568994614 | Anna Blanc | Physician Assistant | 590 Court St, Keene, NH 03431-1719 | 2017-03-29 |
| Find all providers in KEENE | ||||
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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.