MICAH R DAVIS (NPI# 1184605453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184605453 |
| Entity Type | Individual |
| Full Name | MICAH R DAVIS |
| Credential | D.O. |
| Practice Address |
165 Edwin C Moses Blvd Dayton OH 45402 |
| Mailing Address |
1323 W 3rd St Dayton OH 45402-6714 |
| Practice Telephone | 9375580180 |
| Mailing Telephone | 9375869733 |
| Mailing Fax Number | 9375869736 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2015-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 34008628 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MEDICARE GROUP NUMBER | 3601331 | 01 |
| OH | 2606120 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881157238 | Micah Gregory Davis | Student in an Organized Health Care Education/Training Program | 12140 Nall Ave Ste 300, Overland Park, KS 66209-2503 | 2019-04-12 |
| 1124539077 | Micah Davis | Community/Behavioral Health | 7000 Mae Anne Ave Apt 1625, Reno, NV 89523-7137 | 2017-10-18 |
| 1881232932 | Micah Davis | Behavior Technician | 2240 36th Ave Nw Ste 100, Norman, OK 73072-3251 | 2019-12-18 |
| 1992355200 | Micah Davis | Social Worker | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2019-09-18 |
| 1679073407 | Micah Michelle Davis | Nurse Practitioner | 3004 S W S Young Dr, Killeen, TX 76542-2023 | 2018-02-19 |
| Street Address |
165 EDWIN C MOSES BLVD |
| City | DAYTON |
| State | OH |
| Zip Code | 45402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902314750 | Sierra D Hamilton | Student in an Organized Health Care Education/Training Program | 1222 S Patterson Blvd Ste 120, Dayton, OH 45402 | 2018-01-15 |
| 1043738693 | Andrea Enterline | Pharmacist | 230 North Main Street, Dayton, OH 45402 | 2017-09-05 |
| 1407377427 | Felicia Renee Barefield | Registered Nurse | 1222 Vernon Drive, Dayton, OH 45402 | 2017-06-29 |
| 1306377924 | Organization1 | Chronic Disease Hospital | 230 N Main Street, Dayton, OH 45402 | 2017-03-24 |
| 1801336144 | Affect Consulting, LLC | Social Worker | 131 N. Ludlow Street, 248, Dayton, OH 45402 | 2017-03-06 |
| 1669910261 | Latrisha Benson | Nurse's Aide | 326 Middle St., Dayton, OH 45402 | 2017-02-03 |
| 1417404849 | Five Rivers Health Center | Clinic/Center | 725 S. Ludlow St, Dayton, OH 45402 | 2016-09-01 |
| 1780130609 | Christine Hotz-steward | Social Worker | 660 S Main St Gesmv, Dayton, OH 45402 | 2016-08-31 |
| 1942655618 | Cindy Warner | Counselor | 444 West 3rd St, Dayton, OH 45402 | 2016-04-29 |
| 1700250248 | Womack Army Medical Center | Rehabilitation Unit | 215 Ice Ave, 100, Dayton, OH 45402 | 2015-11-20 |
| Find all providers in zip 45402 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629616891 | Nicole Elizabeth Miller | Family Medicine | 7282 Chateauroux Dr Apt A, Dayton, OH 45459-5382 | 2019-12-18 |
| 1770095382 | Nancy Louise Hall | Family Medicine | 1 Elizabeth Pl Ste 260, Dayton, OH 45417-3445 | 2017-11-05 |
| 1487181574 | Caitlyn Anne Frantz | Family Medicine | 6255 Chambersburg Rd Ste 2, Dayton, OH 45424 | 2017-05-19 |
| 1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
| 1215314125 | Tracy Fong | Family Medicine | 2261 Philadelphia Drive, Dayton, OH 45406 | 2015-04-29 |
| 1730519059 | Medstaffpc | Family Medicine | 119 1/2 Bryan St, Dayton, TX 77535-2661 | 2013-11-22 |
| 1962844480 | Claire Eleanore Cappel | Family Medicine | 4266 Upham Rd, Dayton, OH 45429-1620 | 2013-07-25 |
| 1851662092 | New Phoenix | Family Medicine | 11161 Ashbury Meadows Dr, Dayton, OH 45458-6403 | 2012-01-19 |
| 1700165081 | Torben Svendsen | Family Medicine | 7794 Rhea County Hwy Ste 102, Dayton, TN 37321-5981 | 2011-08-04 |
| 1104124221 | Kerri Lyn Gibson | Family Medicine | 4100 W 3rd St Bldg 340, Dayton, OH 45428-9000 | 2011-03-14 |
| Find all providers in DAYTON | ||||
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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.