PETER ARNOLD DAVIS (NPI# 1134302334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134302334 |
| Entity Type | Individual |
| Full Name | PETER ARNOLD DAVIS |
| Credential | PA-C |
| Practice Address |
75 Eastern Point Rd Bldg 97, Yard Hospital Groton CT 06340-4905 |
| Practice Telephone | 8604332070 |
| Practice Fax Number | 8604337802 |
| Mailing Telephone | 8604332070 |
| Mailing Fax Number | 8604337802 |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2007-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA00318 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 000200 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538390992 | Peter Christopher Davis Jr. | Counselor | 3878 Beverly Ave Ne Bldg H, Salem, OR 97305-1394 | 2009-08-04 |
| 1083848170 | Peter James Davis | Physical Therapy Assistant | 4500 Barker Hill Road, Jamesville, NY 13078-9566 | 2009-05-05 |
| 1497861785 | Peter Franklin Davis | Internal Medicine | 6801 Snider Plz # 130, Dallas, TX 75205-1366 | 2006-08-21 |
| 1205844156 | Peter Thomas Davis | Dentist | 201 West Broad Street, Bethlehem, PA 18018-5517 | 2006-08-04 |
| 1033525662 | Peter J Davis | Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2014-07-02 |
| 1144654997 | Peter Davis | Community Health Worker | 982 Mission St, San Francisco, CA 94103-2911 | 2013-08-29 |
| 1487928735 | Peter Evan Davis | Psychiatry & Neurology | 300 Longwood Ave, Boston Children's Hospital, Fegan 11, Boston, MA 02115-5724 | 2012-03-05 |
| 1083987242 | Peter Davis | Case Manager/Care Coordinator | 7107 W 12th St, Little Rock, AR 72204-2404 | 2012-02-20 |
| 1801938725 | Peter M Davis | Optometrist | 830 N Mount Juliet Rd, Mt Juliet, TN 37122-3391 | 2007-02-14 |
| 1992869226 | Peter K Davis | Specialist | 1691 El Camino Real, Suite 400, Palo Alto, CA 94306-1053 | 2006-12-21 |
| Street Address |
75 EASTERN POINT RD BLDG 97, YARD HOSPITAL |
| City | GROTON |
| State | CT |
| Zip Code | 06340-4905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013941871 | Robert P Hurley | Preventive Medicine | 75 Eastern Point Rd, Department 644, Station A97-1, Groton, CT 06340-4905 | 2006-07-10 |
| 1720494966 | Nicole Roy | Nurse Practitioner | 75 Eastern Point Rd, Groton, CT 06340-4905 | 2014-07-09 |
| 1932515459 | Allison Dussault | Nurse Practitioner | 75 Eastern Point Rd, Groton, CT 06340-4905 | 2014-07-03 |
| 1134468143 | General Dynamics | Clinic/Center | 75 Eastern Point Rd, Groton, CT 06340-4905 | 2013-02-11 |
| 1063700078 | Ryan Elaine Bolton | Physician Assistant | 75 Eastern Point Rd, Station A78, Groton, CT 06340-4905 | 2011-07-12 |
| 1245551639 | Alicia M Noonan | Registered Nurse | 75 Eastern Point Rd, Dept 644 Bldg 78a, Groton, CT 06340-4905 | 2010-06-20 |
| 1568525921 | Kathleen M Balantic | Nurse Practitioner | 75 Eastern Point Rd, Groton, CT 06340-4905 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558610 | Bruce Lancel Bernardo Lara | Military Health Care Provider | Fpo, Ae, 09587-2417, Groton, AE 06340 | 2019-09-24 |
| 1295393692 | Ermelinda Elaine Alviso | Military Health Care Provider | Trout Ave, Groton, CT 06340 | 2019-05-31 |
| 1679034011 | Derek James Hale | Military Health Care Provider | Fc 83 Numi, Trout Ave, Groton, CT 06340 | 2019-03-28 |
| 1063973790 | Cody Eugene Shaw | Military Health Care Provider | Numi, Trout Ave Building 83, Groton, CT 06340 | 2019-03-26 |
| 1265906911 | Homelife Companions and Homemakers, LLC | Adult Companion | 1 Fort Hill Road, Suite 3, Groton, CT 06340 | 2019-01-16 |
| 1144735457 | Kristina Marie Carta | Behavior Technician | 220 Rt 12, Suite 205, Groton, CT 06340 | 2017-12-08 |
| 1538674262 | Tercel Dental Pllc | Dentist | 643 Gold Star Hwy., Groton, CT 06340 | 2017-12-04 |
| 1306361662 | Stonington Behavioral Health Inc | Psychologist | 618 Poquonnock Rd, Groton, CT 06340 | 2017-08-08 |
| 1104347806 | Renae Reynolds | Optometrist | 489 Gold Star Hwy Ste 100, Groton, CT 06340 | 2017-07-03 |
| 1053831552 | Susan A Bradbury | Physical Therapist | 455 Eastern Point Rd, Groton, CT 06340 | 2017-06-26 |
| Find all providers in zip 06340 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922622315 | Erin Smolka | Physician Assistant | 33 Orion Way, Groton, MA 01450-2095 | 2020-06-02 |
| 1902361579 | Bradie Hutchinson | Physician Assistant | 99 Jenkins Rd, Groton, MA 01450-1269 | 2019-02-07 |
| 1285699488 | Randy L Panke | Physician Assistant | 159 Trout Ave, Navsubase Nlon, Groton, CT 06349-5159 | 2006-04-19 |
| 1861478745 | Eric L Harry | Physician Assistant | 8 E Hwy 12, Groton, SD 57445 | 2005-12-21 |
| 1861842437 | Kathryn J Connor | Physician Assistant | 52 Hazelnut Hill Rd, Groton, CT 06340-3268 | 2016-06-15 |
| 1962830281 | Stephanie Olivier | Physician Assistant | 491 Gold Star Hwy, Groton, CT 06340-6226 | 2013-10-23 |
| 1356475776 | Jeanne Reed | Physician Assistant | 52 Hazelnut Hill Rd, Groton, CT 06340 | 2007-03-15 |
| 1407948029 | Mark B Mead | Physician Assistant | 100 Sykes St, Groton, NY 13073-1231 | 2006-09-29 |
| 1659485753 | Laura Lee Stapleton | Physician Assistant | 85 Poheganut Dr, Groton, CT 06340-3216 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295913 | Courtney Marquardt | Physician Assistant | 25 Buckland Rd, South Windsor, CT 06074-3703 | 2020-11-04 |
| 1154922623 | Alexis Cardinali | Physician Assistant | 175 S Meriden Rd, Cheshire, CT 06410-2973 | 2020-11-02 |
| 1689274417 | Danielle Kerr | Physician Assistant | 1055 Kennedy Rd, Windsor, CT 06095-1308 | 2020-10-30 |
| 1467051920 | Cynthia G Moreno | Physician Assistant | 76 Newtown Rd Ste C, Danbury, CT 06810-6265 | 2020-10-25 |
| 1245837764 | Lauren Tripodi | Physician Assistant | 9 Sunset Hill Rd, Newtown, CT 06470-1318 | 2020-10-07 |
| 1710594403 | Mary Josephine Elliott | Physician Assistant | 50 Beechwood Dr, Madison, CT 06443-1847 | 2020-09-26 |
| 1558977868 | Gabrielle Guetta | Physician Assistant | 25 Woody Ln, Westport, CT 06880-2260 | 2020-09-22 |
| 1609481639 | Gresi Kello | Physician Assistant | 506 Frost Rd, Waterbury, CT 06705-2304 | 2020-09-15 |
| 1477167351 | Connecticut Children's Eye Care, P.C. | Physician Assistant | 131 New London Tpke Ste 200, Glastonbury, CT 06033-2246 | 2020-09-08 |
| 1750991303 | Lana Chapman | Physician Assistant | 289 Curtis St Apt 2, Meriden, CT 06450-5910 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
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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.