DR. HORACE J DAVIS (NPI# 1033126651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033126651 |
| Entity Type | Individual |
| Full Name | DR. HORACE J DAVIS |
| Credential | D.O |
| Practice Address |
25373 Van Dyke Ave Center Line MI 48015-1425 |
| Practice Telephone | 5862612500 |
| Mailing Telephone | 5862612500 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2015-11-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 5101007157 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | CALHOUN HEALTH PLAN | 06617A | 01 |
| MI | BCBS | 0851338774 | 01 |
| MI | 1917979 | 05 | |
| MI | PHYSICIAN HEALTH PLAN | 200000004050 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477908531 | Horace Davis Jr. | Massage Therapist | 433 Metairie Rd, Suite 106, Metairie, LA 70005-4333 | 2016-04-26 |
| Street Address |
25373 VAN DYKE AVE |
| City | CENTER LINE |
| State | MI |
| Zip Code | 48015-1425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588082051 | John Thomas Owings | Registered Nurse | 25373 Van Dyke Ave, Center Line, MI 48015-1425 | 2014-04-02 |
| 1881907418 | Enaia B Nabha | Internal Medicine | 25373 Van Dyke Ave, Center Line, MI 48015-1425 | 2010-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043772098 | Haley Giordano | Nurse Practitioner | 8033 E 10 Mile Rd Ste 101, Center Line, MI 48015 | 2019-04-01 |
| 1699147843 | Kara Michelle Gee | Dental Hygienist | 6900 East 10 Mile Rd., Centerline, MI 48015 | 2015-10-28 |
| 1811391212 | Mycare Health Center | Clinic/Center | 6900 E 10 Mile Road, Center Line, MI 48015 | 2014-10-14 |
| 1407283831 | Barbara Miller | Licensed Practical Nurse | 8033 E. Ten Mile Rd, Centerline, MI 48015 | 2013-09-30 |
| 1043647472 | Michael Keith Lankford | Registered Nurse | 8033 East 10 Mile Rd, Center Line, MI 48015 | 2013-09-30 |
| 1336430230 | Kelly Brooke Brinkmann | Counselor | 26522 Van Dyke Ave., Center Line, MI 48015 | 2011-04-26 |
| 1083875520 | Compassion Home Health Services, L.L.C. | Home Health | 26160 Van Dyke Ave., Center Line, MI 48015 | 2008-06-18 |
| 1821282203 | Mahmoud M Selim | Otolaryngology | 8033 E. 10 Mile Rd., Ste. 104, Center Line, MI 48015 | 2007-08-29 |
| 1043436470 | Atrium Home & Healthcare Services Inc. | Home Health | 8033 E. Ten Mile Rd., Suite 114, Center Line, MI 48015 | 2007-04-17 |
| 1841342565 | Sanity Home Health Care Inc | Home Health | 8075 Ritter, Center Line, MI 48015 | 2007-01-16 |
| Find all providers in zip 48015 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174623870 | House Call Services LLC | General Practice | 8033 E 10 Mile Rd, Suite 101, Center Line, MI 48015-1427 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649120 | Source Medical Solutions Pllc | General Practice | 625 Kenmoor Ave Se Ste 301, Grand Rapids, MI 49546-2395 | 2020-11-06 |
| 1043832801 | Ksk Medical Pllc | General Practice | 6300 Winter Rd, Manitou Beach, MI 49253-9634 | 2020-05-14 |
| 1275184921 | Home Physicians Group Inc | General Practice | 18481 W 10 Mile Rd Ste 102, Southfield, MI 48075-2621 | 2019-09-24 |
| 1558913251 | Baybrooke Counseling | General Practice | 421 St. Josephs Ave, Suttons Bay, MI 49682 | 2019-07-12 |
| 1962062539 | Healthcare Alliance Pllc | General Practice | 35 S Johnson St Ste 1b, Pontiac, MI 48341-1660 | 2019-06-17 |
| 1356905061 | Comprehensive Care Medical Services | General Practice | 1747 Andover Ln Se, East Grand Rapids, MI 49506-4805 | 2019-04-29 |
| 1336602812 | Mk Certified, LLC | General Practice | 2140 Stone Rd, Ann Arbor, MI 48105-2535 | 2019-04-10 |
| 1215422555 | The Natural Momma Me Initiative | General Practice | 11000 W Mcnichols Rd Ste 212, Detroit, MI 48221-2389 | 2018-06-28 |
| 1881183028 | Silverstone Medical Group, Pllc | General Practice | 805 Oakwood Dr Ste 111, Rochester, MI 48307-1359 | 2018-05-03 |
| 1245739903 | Breanna Lee Brookens | General Practice | 1531 Barnard St, Saginaw, MI 48602-4902 | 2018-02-08 |
| Find all providers with the same taxonomy | ||||
| City | CENTER LINE |
| Zip Code | 48015 |
Please comment or provide details below to improve the information on DR. HORACE J 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.