MICHAEL DAVIS (NPI# 1124064225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124064225 |
| Entity Type | Individual |
| Full Name | MICHAEL DAVIS |
| Credential | MD |
| Practice Address |
12010 Shelbyville Rd Suite 400 Louisville KY 40243-1054 |
| Mailing Address |
Po Box 950248 Louisville KY 40295-0248 |
| Practice Telephone | 5028979191 |
| Practice Fax Number | 5028977626 |
| Mailing Telephone | 5024895730 |
| Mailing Fax Number | 5024895733 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2015-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 26497 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM | 000000500017 | 01 |
| KY | 6426497100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326676842 | Michael Davis | Student in an Organized Health Care Education/Training Program | 10301 Gateway Blvd W Ste 100, El Paso, TX 79925-7701 | 2020-03-30 |
| 1962064691 | Michael Vernon Davis I | Driver | 502 W Park Plz, Mattoon, IL 61938-3639 | 2019-07-02 |
| 1518451988 | Michael Scott Davis | Dentist | 290 Citrus Tower Blvd Ste 104, Clermont, FL 34711-2783 | 2018-06-19 |
| 1629582002 | Michael Davis | Physical Therapist | 2093 Irene Ln, Idaho Falls, ID 83404-7167 | 2017-11-21 |
| 1912416637 | Michael Christopher Davis | Registered Nurse | 18945 East Redden Road, Georgetown, DE 19947 | 2017-09-26 |
| 1760938534 | Michael Anthony Davis I | Counselor | 1475 E Date St Apt 118, San Bernardino, CA 92404-8227 | 2016-08-31 |
| 1619423894 | Michael Davis | Specialist/Technologist | 129 Greenvale Dr, Lexington, SC 29072-7360 | 2016-08-29 |
| 1376901645 | Michael Davis Jr. | Massage Therapist | 3245 Harness Dr, Florissant, MO 63033-3715 | 2016-02-02 |
| 1306186978 | Michael James Davis | Counselor | 1524 Ne 96th St Ste C, Liberty, MO 64068-1380 | 2013-02-19 |
| 1689928061 | Michael Arthur Davis | Surgery | 2744 Silver Creek Rd, Bullhead City, AZ 86442-7913 | 2012-11-06 |
| Street Address |
12010 SHELBYVILLE RD SUITE 400 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40243-1054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609871995 | Francis Beng Kiat Ong | General Practice | 12010 Shelbyville Rd, Suite 500, Louisville, KY 40243-1054 | 2005-06-14 |
| 1902172067 | Suraj K Gathani | Family Medicine | 12010 Shelbyville Rd, Suite 500, Louisville, KY 40243-1054 | 2012-03-22 |
| 1659675403 | Baptist Community Health Services | Emergency Medicine | 12010 Shelbyville Rd, Louisville, KY 40243-1054 | 2011-01-07 |
| 1104018977 | Scott A. Young | Internal Medicine | 12010 Shelbyville Rd, Suite 300, Louisville, KY 40243-1054 | 2007-08-15 |
| 1710179585 | Mark A. Williams | Internal Medicine | 12010 Shelbyville Rd, Suite 300, Louisville, KY 40243-1054 | 2007-08-15 |
| 1861521833 | Middletown Medical Group | Internal Medicine | 12010 Shelbyville Rd, Suite 300, Louisville, KY 40243-1054 | 2007-03-05 |
| 1396880902 | Jack T Wilson IIi | Dentist | 12010 Shelbyville Rd, Suite 200, Louisville, KY 40243-1054 | 2007-02-21 |
| 1295898807 | William Bradley King | Emergency Medicine | 12010 Shelbyville Rd, Suite 500, Louisville, KY 40243-1054 | 2006-12-18 |
| 1538256201 | Alexander E Morgan | Emergency Medicine | 12010 Shelbyville Rd, Suite 500, Louisville, KY 40243-1054 | 2006-10-06 |
| 1114935319 | Scott A. Young M.d., Psc | Internal Medicine | 12010 Shelbyville Rd, Suite 300, Louisville, KY 40243-1054 | 2006-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801949 | Pulsemer Health LLC | Clinic/Center | 11408 Shelbyville Rd, Suite 2, Louisville, KY 40243 | 2020-11-05 |
| 1316563372 | Molly Elizabeth Fitzgerald | Counselor | 350 Evergreen Road Suite 102, Louisville, KY 40243 | 2020-06-24 |
| 1215575410 | Eric Wolfe | Pharmacist | 1320 Snake Foot Drive, Apt 204, Louisville, KY 40243 | 2019-12-18 |
| 1417501974 | Joshua Bynum | Physical Therapist | 12935 Shelbyville Road Ste 106, Louisville, KY 40243 | 2019-08-01 |
| 1376013342 | Carmen Sue Frederick | Psychologist | 731 Speckman Road, Louisville, KY 40243 | 2018-12-03 |
| 1205366846 | Triple Crown Dentistry | Dentist | 904 Lily Creek Road, Suite 101, Louisville, KY 40243 | 2017-06-15 |
| 1659811636 | Jean Steltenpohl | Dietitian, Registered | 518 Cheskirk Pl, Louisville, KY 40243 | 2017-02-24 |
| 1548555287 | Jonathan D Senters | Pharmacist | 12975 Shelbyville Road, T-2728, Middletown, KY 40243 | 2011-06-10 |
| 1023339835 | Ashley Rose Havens | Speech-Language Pathologist | 11510 Main Street, Louisville, KY 40243 | 2010-06-15 |
| 1801110424 | Shawna L. Kauffman | Family Medicine | 12955 Shelbyville Rd Ste 2, Louisville, KY 40243 | 2010-03-25 |
| Find all providers in zip 40243 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689280216 | Hmps Internal Medicine of West Louisville Pllc | Internal Medicine | 2730 Brownsboro Rd Apt 164, Louisville, KY 40206-1268 | 2020-09-18 |
| 1174085203 | New Hope Recovery LLC | Internal Medicine | 2503 Bush Ridge Dr Ste A, Louisville, KY 40245-5885 | 2019-04-06 |
| 1619452364 | Peak Internal Medicine | Internal Medicine | 400 S Mccaslin Blvd Ste 200, Louisville, CO 80027-9701 | 2018-09-28 |
| 1245729870 | Mark Louis Siefring | Internal Medicine | 842 Parkway Dr, Louisville, KY 40217-2456 | 2018-05-09 |
| 1306341417 | Louisville Primary Care | Internal Medicine | 801 Barret Ave Ste 112, Louisville, KY 40204-1732 | 2018-03-29 |
| 1467966143 | Ray Richard Taylor | Internal Medicine | 1618 Polo Club Ct, Louisville, KY 40245-4482 | 2017-11-17 |
| 1972024768 | Paridhi Mathur | Internal Medicine | 6801 Dixie Hwy Ste 40258, Louisville, KY 40258-3913 | 2017-06-30 |
| 1780115998 | Preston Urgent Care, Inc | Internal Medicine | 4822 Preston Hwy, Louisville, KY 40213-2226 | 2017-03-21 |
| 1255873832 | Belissa Malier Ramos Chaves | Internal Medicine | 550 S Jackson St Bldg A, Louisville, KY 40202-1622 | 2016-11-14 |
| 1326499161 | Cristina Salmon | Internal Medicine | 550 S Jackson St Rm A3r40, Louisville, KY 40202-1622 | 2016-06-23 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40243 |
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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.