DREW J DAVIS (NPI# 1104006808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104006808 |
| Entity Type | Individual |
| Full Name | DREW J DAVIS |
| Credential | M.D. |
| Practice Address |
751 S Bascom Ave San Jose CA 95128-2604 |
| Practice Telephone | 4088853589 |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2012-10-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | A92701 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496765 | Drew Alexander Davis | Nurse Practitioner | 2139 Auburn Ave, Cincinnati, OH 45219-2906 | 2020-10-29 |
| 1518301720 | Drew Gregory Davis | Student in an Organized Health Care Education/Training Program | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2013-04-18 |
| 1891086989 | Drew Bennett Davis | Ophthalmology | 3135 Middle Dr, Columbus, IN 47203-4472 | 2011-04-25 |
| 1568624146 | Drew Edward Davis | Radiology | 1331 North Elm Street, Suite 200, Greensboro, NC 27401-6304 | 2008-06-25 |
| Street Address |
751 S BASCOM AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396743217 | Ellen Perez Travis | Nurse Practitioner | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2005-07-13 |
| 1235738691 | Alina Bogdanovich | Registered Nurse | 751 S Bascom Ave, San Jose, CA 95128-2699 | 2020-10-17 |
| 1255946380 | Kimberly Red Soria | Nurse Practitioner | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-09-15 |
| 1568072403 | Emily Win Hou | Pharmacist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-08-05 |
| 1649880063 | Katherine Ann Trescott | Speech-Language Pathologist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-08-01 |
| 1992320386 | Gino Dizon Legaspi | Physical Therapy Assistant | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-06-11 |
| 1215552732 | Emily Louise Masad | Physician Assistant | 751 S Bascom Ave, San Jose, CA 95128-2699 | 2020-06-10 |
| 1790300341 | Laura Muzzatti | Physical Therapist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-06-09 |
| 1679195085 | Raymond Chao | Pharmacist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-05-08 |
| 1407476765 | Yoo Jung Kim | Student in an Organized Health Care Education/Training Program | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-04-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043445950 | Deepak Gupta | Plastic Surgery | 751 S Bascom Ave Ste 4q261, San Jose, CA 95128-2604 | 2009-05-20 |
| 1730286626 | Melody Lynd | Plastic Surgery | 2450 Samaritan Dr, Suite 2, San Jose, CA 95124-3912 | 2006-09-20 |
| 1720095565 | Tony H Pham | Plastic Surgery | 2307 Forest Ave, San Jose, CA 95128-4609 | 2006-08-02 |
| 1568815207 | Plastic & Reconstructive Surgery Associates | Plastic Surgery | 2581 Samaritan Dr Ste 102, San Jose, CA 95124-4112 | 2016-07-18 |
| 1184823205 | Kirk A Churukian Md Psc | Plastic Surgery | 2400 Samaritan Dr, Suite 103, San Jose, CA 95124-3910 | 2007-07-18 |
| 1649473679 | Keith Elliott Follmar | Plastic Surgery | 280 Hospital Pkwy, San Jose, CA 95119-1103 | 2007-06-07 |
| 1780715409 | Kirk Anthony Churukian | Plastic Surgery | 2400 Samaritan Dr, Suite 103, San Jose, CA 95124-3910 | 2007-03-07 |
| 1639230436 | Agheg Mihran Yenikomshian | Plastic Surgery | 2585 Samaritan Dr, Suite 302, San Jose, CA 95124-4107 | 2006-12-13 |
| 1578649000 | Alan Bindiger | Plastic Surgery | 260 International Cir, San Jose, CA 95119-1130 | 2006-10-27 |
| 1831275361 | Jonathan N. Zelnik | Plastic Surgery | 260 International Cir, San Jose, CA 95119-1130 | 2006-10-27 |
| Find all providers in SAN JOSE | ||||
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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.