WAYNE ALBERT DAVIS (NPI# 1063610293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063610293 |
| Entity Type | Individual |
| Full Name | WAYNE ALBERT DAVIS |
| Credential | D.O. |
| Practice Address |
3830 E Van Buren St Phoenix AZ 85008-6920 |
| Practice Telephone | 6022437277 |
| Practice Fax Number | 6022860808 |
| Mailing Telephone | 6022437277 |
| Mailing Fax Number | 6022860808 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2016-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4825 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 484673 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376716654 | Wayne Byron Davis | Chiropractor | 1715 5th Ave Ste A, Moline, IL 61265-7911 | 2008-04-08 |
| 1053490037 | Wayne J Davis | Technician/Technologist | 5061 S Mccarran Blvd, Reno, NV 89502-6530 | 2006-11-02 |
| 1245842954 | Wayne Davis | Technician | 1007 Mary St, Parkersburg, WV 26101-5223 | 2020-08-24 |
| 1073152583 | Wayne A Davis | Nursing Care | 301 Victoria St, Costa Mesa, CA 92627-7131 | 2019-12-31 |
| 1265663017 | Wayne Earl Davis | Ophthalmology | 3600 Amron Ct, Columbia, MO 65202-1918 | 2009-07-28 |
| 1720109465 | Wayne M Davis | Dentist | 9733 Ustick Rd, Boise, ID 83704-5202 | 2007-04-02 |
| 1164599841 | Wayne Steven Davis | Podiatrist | 10918 Kingston Pike, Knoxville, TN 37934-2931 | 2006-11-29 |
| 1285743880 | Wayne P Davis | Internal Medicine | 2041 Georgia Ave Nw, Washington, DC 20060-0001 | 2006-08-29 |
| 1063459824 | Wayne L. Davis | Radiology | 500 W Broadway St, Missoula, MT 59802-4003 | 2006-06-01 |
| Street Address |
3830 E VAN BUREN ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85008-6920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386741668 | Mountain Park Health Center | Clinic/Center | 3830 E Van Buren St, Phoenix, AZ 85008-6936 | 2006-09-20 |
| 1215591623 | Daniella De Marchiori Pedroso | Psychologist | 3830 E Van Buren St, Phoenix, AZ 85008-6920 | 2019-05-01 |
| 1275027542 | Shalona Kathryn Connolly | Dietitian, Registered | 3830 E Van Buren St, Phoenix, AZ 85008-6920 | 2018-06-19 |
| 1811408206 | Megan Jackson-hamus | Social Worker | 3830 E Van Buren St, Phoenix, AZ 85008-6920 | 2017-10-12 |
| 1184142465 | Starla Schmidt | Dietitian, Registered | 3830 E Van Buren St, Phoenix, AZ 85008-6920 | 2017-09-06 |
| 1073042255 | Hilary Blair Price | Nurse Practitioner | 3830 E Van Buren St, Phoenix, AZ 85008-6920 | 2017-06-09 |
| 1215479829 | Rachael Buckley | Nurse Practitioner | 3830 E Van Buren St, Phoenix, AZ 85008-6936 | 2016-11-14 |
| 1447703004 | Alyssa Ward | Dietitian, Registered | 3830 E Van Buren St, Phoenix, AZ 85008-6936 | 2016-08-01 |
| 1033569330 | Nichole Anguilm | Dietitian, Registered | 3830 E Van Buren St, Phoenix, AZ 85008-6920 | 2016-06-16 |
| 1295192060 | Nitika Singh | Psychologist | 3830 E Van Buren St, Phoenix, AZ 85008-6920 | 2016-01-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607060 | Am Apnea and Tmj LLC | Durable Medical Equipment & Medical Supplies | 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 | 2020-07-23 |
| 1194341131 | Abdulbaril Olandapo Olagunju | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt Street, Valleywise Health, Phoenix, AZ 85008 | 2020-06-24 |
| 1376164632 | Abdul Rahman Raed Mustafa Halawa | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St Valleywise Health, Phoenix, AZ 85008 | 2020-04-28 |
| 1245869460 | Zachary Masuda | Student in an Organized Health Care Education/Training Program | Valleywise Health Medical Center, 2601 E Roosevelt St, Phoenix, AZ 85008 | 2020-04-08 |
| 1942840145 | Cana Behavior LLC | Physical Therapist | 2412 N 36 Pl, Phoenix, AZ 85008 | 2020-01-15 |
| 1871158188 | Fred Gardezy | Student in an Organized Health Care Education/Training Program | Maricopa Integrated Health System 2601 E. Roosevelt St., Phoenix, AZ 85008 | 2019-05-02 |
| 1225692346 | Navkaran Singh Girgla | Student in an Organized Health Care Education/Training Program | 2601 East Roosevelt St., Phoenix, AZ 85008 | 2019-04-24 |
| 1316412323 | Southwest Human Developement | Early Intervention Provider Agency | 2850 N 24h Street, Phoenix, AZ 85008 | 2018-10-05 |
| 1558885970 | Mona Ridhwan Ziems | Midwife | 1919 N 31st St, Phoenix, AZ 85008 | 2017-07-27 |
| 1093244451 | Shana Cynamon | Audiologist | 1801 N 37th Pl, Phoenix, AZ 85008 | 2017-06-08 |
| Find all providers in zip 85008 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339200 | Madison Le | Family Medicine | 3037 W Cat Balue Dr, Phoenix, AZ 85027-2342 | 2020-09-04 |
| 1720604069 | Good Health Medical, PC | Family Medicine | 2632 S 83rd Ave Ste 113, Phoenix, AZ 85043-7206 | 2020-06-23 |
| 1427670751 | Florence Wellness Pllc | Family Medicine | 101 E Washington St Fl 7, Phoenix, AZ 85004-2450 | 2020-05-08 |
| 1437782257 | Jillian Knapp | Family Medicine | 521 W Butler Dr, Phoenix, AZ 85021-4526 | 2020-02-20 |
| 1861033912 | Vanessa Lissette Lara | Family Medicine | 1459 E Flower St, Phoenix, AZ 85014-5666 | 2019-09-30 |
| 1366007411 | Marceline E Ndum | Family Medicine | 10631 S. 51st Street, Suite 1, Phoenix, AZ 85044-5225 | 2019-05-03 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1326510389 | Leanne J Muniz | Family Medicine | 19635 N Cave Creek Rd Apt 344, Phoenix, AZ 85024-1879 | 2018-12-31 |
| 1164905535 | Clark Medical, Pllc | Family Medicine | 2601 N 3rd St Ste 106, Phoenix, AZ 85004-1144 | 2018-09-12 |
| 1780180901 | Babymoon Inn Family Care LLC | Family Medicine | 202 E Morris Dr, Phoenix, AZ 85012-2323 | 2018-04-05 |
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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.