JOHN S DAVIS (NPI# 1205874013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205874013 |
| Entity Type | Individual |
| Full Name | JOHN S DAVIS |
| Credential | M.D. |
| Practice Address |
5590 Kietzke Ln Reno NV 89511-3019 |
| Practice Telephone | 7753232080 |
| Practice Fax Number | 7753252334 |
| Mailing Telephone | 7753232080 |
| Mailing Fax Number | 7753252334 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2018-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 4127 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | TRICARE | 880167036A011 | 01 |
| NV | BLUE CROSS BLUE SHIELD | CC4127 | 01 |
| NV | 002016378 | 05 | |
| CA | XPY001350 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750905808 | John Howard Davis | Peer Specialist | 540 W Wallace St, Shawnee, OK 74801-5722 | 2020-06-04 |
| 1740811488 | John Leslie Davis | Pharmacist | 5208 Ellen Jayne Way, Midland, TX 79707-1613 | 2020-01-31 |
| 1114402161 | John A Davis | Hearing Instrument Specialist | 216 Phoenix Ct Ste C, Seymour, TN 37865-3914 | 2018-09-26 |
| 1790273720 | John Patrick Davis | Counselor | 10 E New York Ave Ste 1, Somers Point, NJ 08244-2367 | 2018-04-25 |
| 1154821049 | John Davis | Case Manager/Care Coordinator | 627 Bailey Chapel Rd, Piketon, OH 45661-9675 | 2018-02-16 |
| 1619487386 | John E Davis | Counselor | 8101 Shaffer Pkwy Ste 102, Littleton, CO 80127-4108 | 2017-10-06 |
| 1093234684 | John Davis | Dentist | 7100 Highway 98, Suite 210, Hattiesburg, MS 39402-8601 | 2017-09-14 |
| 1306384276 | John Chase Davis | Behavior Technician | 8315 6th Pl Se, Lake Stevens, WA 98258-3688 | 2017-02-10 |
| 1598170276 | John Davis | Licensed Practical Nurse | 10271 Dresden Rd, Dresden, OH 43821-9446 | 2014-06-21 |
| 1396174751 | John Davis Sr. | Registered Nurse | 339 Kings Ridge Blvd, O Fallon, IL 62269-6327 | 2013-11-06 |
| Street Address |
5590 KIETZKE LN |
| City | RENO |
| State | NV |
| Zip Code | 89511-3019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063419554 | Joseph R Walker | Neurological Surgery | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2005-06-30 |
| 1336767417 | Jee Eun Lee | Nurse Practitioner | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2020-07-06 |
| 1700364338 | Rachel A Chattin | Nurse Practitioner | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2018-08-06 |
| 1174001614 | Caitlin M Clarkin | Physician Assistant | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2018-08-06 |
| 1124492442 | Jessyca Luke | Neurological Surgery | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2015-11-24 |
| 1508120940 | Jennifer Keller | Nurse Practitioner | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2012-06-29 |
| 1093079998 | Andrea Renee Black | Nurse Practitioner | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2012-06-26 |
| 1942589262 | Ashlie D. Teixeira-smith | Nurse Practitioner | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2011-08-04 |
| 1306136452 | Michael Kevin Moore | Neurological Surgery | 5590 Kietzke Ln, Reno, NV 89511 | 2011-04-11 |
| 1801107891 | Jennifer Marie Minard | Registered Nurse | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2010-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474695 | Katherine Lynn Mauldin | Physician Assistant | Redfield Campus Nell J. Redfield Bldg. A Suite 104, 18600 Wedge Parkway, Reno, NV 89511 | 2020-07-14 |
| 1902428915 | Roxann Jeanette Richardson | Student in an Organized Health Care Education/Training Program | Unr Redfield Campus Nell J. Redfield Bldg. A, Suite 104 18600 Wedge Parkway, Reno, NV 89511 | 2020-05-13 |
| 1487286654 | Noelle Marie Davis-marinaccio | Nurse Practitioner | 5570 Longley Lane, Reno, NV 89511 | 2020-02-06 |
| 1265092662 | Elysia Jones | Student in an Organized Health Care Education/Training Program | 18600 Wedge Parkway, Nell J. Redfield Building A, Suite 104, Reno, NV 89511 | 2019-06-18 |
| 1023583622 | Vera Whole Health, Wa PC | Clinic/Center | 699 Sierra Rose Drive, Reno, NV 89511 | 2018-10-10 |
| 1841786027 | Christina Willett | Speech-Language Pathologist | 14680 S. Quiet Meadow Drive, Reno, NV 89511 | 2018-07-10 |
| 1235630864 | High Sierra Psychiatry, LLC | Clinic/Center | Reno Behavioral Healthcare Hospital, 6940 Sierra Center Parkway, Reno, NV 89511 | 2018-02-28 |
| 1154839637 | Jacob Blake, Md Ltd. | Anesthesiology | 5590 Kietzke Lane, Reno, NV 89511 | 2018-01-18 |
| 1548776024 | Jennifer L. Shane O.d., Ltd | Optometrist | 5385 Reno Corporate Drive #100, Reno, NV 89511 | 2017-12-20 |
| 1619488525 | Reno Behavioral Healthcare Hospital, LLC | Psychiatric Hospital | 6940 Sierra Center Parkway, Reno, NV 89511 | 2017-10-18 |
| Find all providers in zip 89511 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013239482 | Nevada Neurosurgery, Ltd Lali Sekhon Md | Neurological Surgery | 75 Pringle Way Ste 701, Reno, NV 89502-1472 | 2010-02-25 |
| 1710933213 | Michael H Song Md Ltd | Neurological Surgery | 10509 Professional Circle, Suite 101, Reno, NV 89521-4883 | 2006-05-26 |
| 1255339818 | William N Dawson Jr. | Neurological Surgery | 130 Southridge Dr, Reno, NV 89509-3253 | 2005-07-08 |
| 1063419554 | Joseph R Walker | Neurological Surgery | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2005-06-30 |
| 1871191361 | Battle Born Brain and Spine Pllc | Neurological Surgery | 6512 S Mccarran Blvd Ste E, Reno, NV 89509-6141 | 2020-10-15 |
| 1396386991 | Reno Orthopaedic Clinic Inc | Neurological Surgery | 75 Pringle Way Ste 701, Reno, NV 89502-1472 | 2019-10-04 |
| 1124492442 | Jessyca Luke | Neurological Surgery | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2015-11-24 |
| 1841548195 | Shane Abdunnur | Neurological Surgery | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2012-08-16 |
| 1306136452 | Michael Kevin Moore | Neurological Surgery | 5590 Kietzke Ln, Reno, NV 89511 | 2011-04-11 |
| 1780847673 | Edward Charles Perry IIi | Neurological Surgery | 9990 Double R Blvd, Suite 200, Reno, NV 89521-6014 | 2008-07-09 |
| Find all providers in RENO | ||||
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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.