PHILIP D DAVIS (NPI# 1174507271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174507271 |
| Entity Type | Individual |
| Full Name | PHILIP D DAVIS |
| Credential | M.D. |
| Practice Address |
3850 Park Nicollet Blvd St Louis Park MN 55416-2527 |
| Mailing Address |
8170 33rd Ave S Po Box 1309 Mail Stop 21110q Minneapolis MN 55425-4516 |
| Practice Telephone | 9529935041 |
| Mailing Telephone | 9529931000 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2016-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 35366 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952846388 | Philip Davis | Psychologist | 453 W 1500 S, Bountiful, UT 84010-7478 | 2016-12-20 |
| 1184012197 | Philip Davis | Pharmacist | 3221 Peachtree Rd Ne, Atlanta, GA 30305-2414 | 2014-12-26 |
| 1144678137 | Philip Stanley Davis | Psychologist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2016-05-31 |
| 1427435155 | Philip Minter Davis II | Dentist | 1940 S Tuttle Ave, Sarasota, FL 34239-3114 | 2015-05-01 |
| 1386058733 | Philip M Davis | Emergency Medicine | 36000 Darnall Loop, Carl R. Darnall Army Medical Center, Ft. Hood, TX 76544 | 2014-06-13 |
| 1285904383 | Philip V Davis | Nurse Practitioner | 5665 Peachtree Dunwoody Rd Ne, Atlanta, GA 30342-1764 | 2012-01-05 |
| 1750690459 | Philip Carson Davis | Social Worker | 709 Davidson St, Tullahoma, TN 37388-3607 | 2010-09-28 |
| 1770723900 | Philip Michael Davis | Counselor | 1017 Tennessee St, Vallejo, CA 94590-4547 | 2009-02-27 |
| 1174617302 | Philip J. Davis | Psychologist | 5502 58th St, Suite 600, Lubbock, TX 79414-2000 | 2006-10-03 |
| 1497787717 | Philip R. Davis | Internal Medicine | 1000 Locust St, Reno, NV 89502-2597 | 2006-07-07 |
| Street Address |
3850 PARK NICOLLET BLVD |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55416-2527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487659587 | Debra Ann Rustad | Nurse Practitioner | 3850 Park Nicollet Blvd, Park Nicollet Clinic--senior Services-- 3rd Floor, St Louis Park, MN 55416-2527 | 2005-06-15 |
| 1386280030 | Melissa Jean Neiert | Social Worker | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2019-11-18 |
| 1083261101 | Annemarie Rose Kettler | Dietitian, Registered | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2019-08-22 |
| 1427601772 | Michaela Rae Schleinz | Occupational Therapist | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2019-07-16 |
| 1720545627 | Rose Alicia Crider | Dietitian, Registered | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2019-02-27 |
| 1114435773 | Adam James Uithoven | Physician Assistant | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2018-01-17 |
| 1285140442 | Jessica Mae Brabender | Nurse Practitioner | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2017-12-22 |
| 1043729064 | Grace Marie Irish | Nurse Practitioner | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2017-09-21 |
| 1760908131 | Elin Christine Pool | Physician Assistant | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2017-08-17 |
| 1912422718 | Kathleen Therese Guinee Holman | Nurse Practitioner | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2017-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| 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 |
|---|---|---|---|---|
| 1548453947 | Natalia Dorf Biderman | Internal Medicine | 6500 Excelsior Blvd Ste #2-260, St Louis Park, MN 55426 | 2007-08-20 |
| 1083806459 | William Isaac Braunstein | Internal Medicine | 2531 Joppa Ave S, St Louis Park, MN 55416-3949 | 2007-08-09 |
| 1326063611 | Steven S Saliterman | Internal Medicine | 3931 Louisiana Ave., Suite W 110, St Louis Park, MN 55426 | 2006-07-13 |
| 1952357857 | Catherine Quynh-nhu Nguyen | Internal Medicine | 6500 Exceisor Blvd, St Louis Park, MN 55426-4744 | 2006-05-25 |
| 1437136371 | Jon Paul Carlson | Internal Medicine | 6600 Excelsior Blvd. Suite 131, St Louis Park, MN 55426-2527 | 2005-12-30 |
| 1427551746 | Lifesprk Medical Group, Pa | Internal Medicine | 5320 W 23rd St Ste 130, St Louis Park, MN 55416-1670 | 2018-03-13 |
| 1336672930 | Naoko Onizuka | Internal Medicine | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2017-04-10 |
| 1366974933 | Alaa Ali | Internal Medicine | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2017-04-01 |
| 1720441900 | Vanessa Wankhede Langenfeld | Internal Medicine | 3850 Park Nicollet Blvd, St Louis Park, MN 55416 | 2016-04-04 |
| 1659741924 | Park Nicollet Clinic | Internal Medicine | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2015-09-30 |
| Find all providers in ST LOUIS PARK | ||||
| City | ST LOUIS PARK |
| Zip Code | 55416 |
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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.