AMANDA DAVIS (NPI# 1104278621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104278621 |
| Entity Type | Individual |
| Full Name | AMANDA DAVIS |
| Credential | M.D. |
| Practice Address |
861 E Allegheny Ave Philadelphia PA 19134 |
| Mailing Address |
4417 N 6th St Philadelphia PA 19140-2319 |
| Practice Telephone | 2158311100 |
| Mailing Telephone | 2153023600 |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2019-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MT211860 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3401 Civic Center Blvd 9nw Rm 55, The Children's Hospital of Philadelphia, Philadelphia, PA 19104 | 2155901220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330423 | Amanda Nicole Davis | Nurse's Aide | 686 Easy St, Marion, OH 43302-1606 | 2020-09-14 |
| 1598318842 | Amanda Lee Davis | Speech-Language Pathologist | 5730 W Centinela Ave Apt 308, Los Angeles, CA 90045-8815 | 2019-07-16 |
| 1790245645 | Amanda Davis | Occupational Therapy Assistant | 22461 Interstate 30 Ste 301, Bryant, AR 72022-2382 | 2019-03-25 |
| 1295246007 | Amanda N. Davis | Marriage & Family Therapist | 5001 Kendall Sta Nw, Acworth, GA 30102-7961 | 2017-10-19 |
| 1558886598 | Amanda Marie Davis | Nurse Practitioner | 18500 E 6th Ave, Aurora, CO 80011-9504 | 2017-08-10 |
| 1386184638 | Amanda Jean Davis | Behavioral Analyst | 34 Manor House Rd, Budd Lake, NJ 07828-2718 | 2017-03-06 |
| 1427593946 | Amanda Jane Davis | Social Worker | 5520 Barton Ln, Shawnee, KS 66203-2246 | 2016-12-20 |
| 1972054013 | Amanda Lee Davis | Hearing Instrument Specialist | 1761 Lisbon St, Unit 2, Lewiston, ME 04240-3525 | 2016-10-24 |
| 1033506209 | Amanda Davis | Social Worker | 7863 Park Gate Dr, North Charleston, SC 29418-3687 | 2015-04-24 |
| 1891192985 | Amanda Kathleen Davis | Nurse Practitioner | 4302 Allen Rd Ste 420, Stow, OH 44224-1070 | 2014-12-04 |
| Street Address |
861 E ALLEGHENY AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306896394 | Esperanza Health Center, Inc. | Clinic/Center | 861 E Allegheny Ave, Philadelphia, PA 19134-2401 | 2006-05-11 |
| 1073131280 | Anna Elizabeth Perkins | Social Worker | 861 E Allegheny Ave, Philadelphia, PA 19134-2401 | 2020-07-14 |
| 1932743358 | Steven Wood | Nurse Practitioner | 861 E Allegheny Ave, Philadelphia, PA 19134-2401 | 2019-10-29 |
| 1306312400 | Sara Johnson Buxton | Nurse Practitioner | 861 E Allegheny Ave, Philadelphia, PA 19134-2401 | 2018-10-17 |
| 1215445788 | Charles Young | Nurse Practitioner | 861 E Allegheny Ave, Philadelphia, PA 19134-2401 | 2018-01-17 |
| 1578071577 | Christine Ferrari Strickland | Nurse Practitioner | 861 E Allegheny Ave, Philadelphia, PA 19134-2401 | 2018-01-12 |
| 1124544341 | Samantha Elizabeth Baker-evens | Nurse Practitioner | 861 E Allegheny Ave, Philadelphia, PA 19134-2401 | 2017-08-18 |
| 1275978033 | Maryann Salib | Preventive Medicine | 861 E Allegheny Ave, Philadelphia, PA 19134-2401 | 2013-05-07 |
| 1972881316 | Kristin M Romeo | Nurse Practitioner | 861 E Allegheny Ave, Philadelphia, PA 19134 | 2011-08-03 |
| 1821319153 | Charlene Chen | Family Medicine | 861 E Allegheny Ave, Philadelphia, PA 19134-2401 | 2010-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871137208 | My Philadelphia Pharmacy Inc | Pharmacy | 2901 E Thompson St, Front Store, Philadelphia, PA 19134 | 2019-10-29 |
| 1588125793 | Bret Johnson | Student in an Organized Health Care Education/Training Program | Pediatric Residency Program, 160 East Erie Ave, Philadelphia, PA 19134 | 2019-03-29 |
| 1053881672 | Ana Y Almanzar | Psychologist | 3513 North Water Street, Philadelphia, PA 19134 | 2018-11-27 |
| 1861974206 | Stephanie C Curtis | Registered Nurse | St. Christopher's Hospital for Children 160 E Erie Ave, Philadelphia, PA 19134 | 2018-09-01 |
| 1700371978 | Kristi Ford | Nurse Practitioner | 160 E Erie Ave # 21542, Philadelphia, PA 19134 | 2018-06-28 |
| 1700370178 | Natalie Martinez | Case Manager/Care Coordinator | 3528 I St Ste 1, Philadelphia, PA 19134 | 2018-06-19 |
| 1205352309 | Personal Injury Clinic PC | Chiropractor | 2301 E Allegheny Ave Ste 305a, Philadelphia, PA 19134 | 2017-08-21 |
| 1306376280 | Port Richmond Counseling Practices | Clinic/Center | 3110 Aramingo Ave, Suite 1, Philadelphia, PA 19134 | 2017-06-14 |
| 1760864441 | Jason Roy Toews | Pediatrics | 160 East Eire Ave, St. Christopher's Hospital for Children, Philadelphia, PA 19134 | 2015-06-18 |
| 1376933291 | David Tanney Yusavitz | Nurse Practitioner | 160 E Erie Ave Ste 2015, Philadelphia, PA 19134 | 2015-01-30 |
| Find all providers in zip 19134 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861036279 | Stc Pediatrics LLC | Pediatrics | 300 E Hunting Park Ave, Philadelphia, PA 19124-6018 | 2019-10-30 |
| 1447818729 | Elizabeth Edmondston Tarr | Pediatrics | 3401 Civic Center Blvd Fl 9nw55, Philadelphia, PA 19104-4319 | 2019-06-03 |
| 1245799337 | Jerry Martin Kaplan | Pediatrics | 2421 Fairmount Ave, Philadelphia, PA 19130-2517 | 2019-03-18 |
| 1992299861 | Gayathri Prabhakar | Pediatrics | 3401 Civic Center Blvd 9nw, Rm 55, Philadelphia, PA 19104-4319 | 2018-06-14 |
| 1992298004 | Daniel Rappoport | Pediatrics | 3401 Civic Center Boulevard, 9nw, Room 55, Philadelphia, PA 19104-4399 | 2018-06-13 |
| 1376069567 | Childrens Hospital of Philadelphia | Pediatrics | 3401 Civic Center Blvd Fl 4, Philadelphia, PA 19104-4319 | 2017-08-18 |
| 1558881581 | Isabel Cristina Castillo Hernandez | Pediatrics | 4500-10, Apt 201b, Philadelphia, PA 19124 | 2017-06-21 |
| 1891225694 | Joshua Hruby Sperling | Pediatrics | 3401 Civic Center Boulevard 9nw, Room 55, The Children's Hospital of Philadelphia, Philadelphia, PA 19104-4399 | 2017-06-14 |
| 1124558911 | Salvatore Charles Rametta | Pediatrics | 3401 Civic Center Boulevard Building 9nw Room 55, Children's Hospital of Philadelphia, Philadelphia, PA 19104 | 2017-06-14 |
| 1922536952 | Alyssa Coffin | Pediatrics | 3401 Civic Center Blvd Fl 9nw, Philadelphia, PA 19104-4319 | 2017-06-03 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19134 |
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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.