MR. JASON PAUL DAVIS (NPI# 1225073299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225073299 |
| Entity Type | Individual |
| Full Name | MR. JASON PAUL DAVIS |
| Credential | IDC |
| Practice Address |
1035 Nider Blvd Suite 100 Norfolk VA 23521-2701 |
| Mailing Address |
245 Locust St Suffolk VA 23434-4063 |
| Practice Telephone | 7573147301 |
| Mailing Telephone | 7578468029 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356870927 | Jason Thomas Davis | Counselor | 2530 Crawford Ave Ste 208, Evanston, IL 60201-4959 | 2017-06-07 |
| 1124443486 | Jason Davis | Physical Therapy Assistant | 1840 Hudson Hollow Rd, Stephens City, VA 22655-3330 | 2014-02-24 |
| 1306133392 | Jason O. Davis | Dentist | 4552 Kings Hwy, Brooklyn, NY 11234-2028 | 2011-06-29 |
| 1023322633 | Jason Brandon Davis | Emergency Medical Technician, Basic | 172 Elvington Ln, Lexington, SC 29073-8875 | 2010-08-06 |
| 1285809475 | Jason Evan Davis | Surgery | 150 Bergen Avenue, Uh Division of Vascular Surgery, Newark, NJ 07103 | 2008-04-28 |
| 1467424606 | Jason M Davis | Pediatrics | 183 Cherry St, New Canaan, CT 06840-4820 | 2006-02-02 |
| 1174513832 | Jason Davis | Chiropractor | 16 Highland Spring Rd, Lewiston, ME 04240-3856 | 2005-10-25 |
| 1023632205 | Jason Davis | Physician Assistant | 590 Court St, Keene, NH 03431-1719 | 2020-06-03 |
| 1174029870 | Jason Davis | General Practice | 619 19th St South, Jt N338, Birmingham, AL 35071 | 2018-04-02 |
| 1205352614 | Jason Michael Davis | Physical Therapy Assistant | 13220 Usf Laurel Drive, Tampa, FL 33612 | 2017-08-17 |
| Street Address |
1035 NIDER BLVD SUITE 100 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23521-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912903683 | Andrea Susan Bassi | Optometrist | 1035 Nider Blvd, Ste 100, Norfolk, VA 23521-2701 | 2005-06-27 |
| 1902076219 | Pamela Jeanne Arceneaux | Military Health Care Provider | 1035 Nider Blvd, Suite 100, Norfolk, VA 23521-2701 | 2008-03-04 |
| 1912067141 | Todd William Neils | Dentist | 1035 Nider Blvd, Norfolk, VA 23521-2701 | 2006-12-11 |
| 1952461246 | Kevin Baiko | Family Medicine | 1035 Nider Blvd, Suite 100, Norfolk, VA 23521-2701 | 2006-12-09 |
| 1790843076 | Estanislao V Soria Jr. | Family Medicine | 1035 Nider Blvd, Suite 100, Norfolk, VA 23521-2701 | 2006-12-05 |
| 1205865755 | Paul Frederick Hazard | Military Health Care Provider | 1035 Nider Blvd, Suit 100, Norfolk, VA 23521-2701 | 2006-06-30 |
| 1427025485 | Ricardo Garza | Military Health Care Provider | 1035 Nider Blvd, Suite 100, Norfolk, VA 23521-2701 | 2006-03-08 |
| 1730156134 | Nelsoncris Caparas Delacruz | Military Health Care Provider | 1035 Nider Blvd, Suite 100, Norfolk, VA 23521-2701 | 2006-03-03 |
| 1831162254 | Fariba Sadr | Pharmacist | 1035 Nider Blvd, Suite 100, Norfolk, VA 23521-2701 | 2006-02-08 |
| 1255302683 | Patricia Fay Rogner | Registered Nurse | 1035 Nider Blvd, Tricare Prime Boone Clinic, Norfolk, VA 23521-2731 | 2006-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720352958 | Omar Antonio Pescador | Military Health Care Provider | Seal Team 10 Medical Department, Bldg 3808, Virginia Beach, VA 23521 | 2012-03-06 |
| 1013219591 | Naval Special Warfare Group Three Det Little Creek | Military Hospital | 1840 Intercove Rd, Norfolk, VA 23521 | 2010-12-03 |
| 1750610788 | Melissa Christine Foster | Military Health Care Provider | 2901 Amphibious Drive, Acu-2, Norfolk, VA 23521 | 2009-12-22 |
| 1396837068 | Sharon A Raghubar | Dentist | Nab Little Creek, 1035 Nider Blvd. Suite 200, Norfolk, VA 23521 | 2006-09-29 |
| 1073581823 | Karen Hintz Charlton | Physician Assistant | 1035 Nidar Blvd, Norfolk, VA 23521 | 2006-03-09 |
| 1518937846 | Timothy Paul Tobin | Optometrist | Branch Medical Clinic, Little Creek, 1035 Nider Blvd Ste 100, Norfolk, VA 23521 | 2006-01-26 |
| 1225273691 | Jason Paul Arceneaux | Military Health Care Provider | 1355 Helicopter Rd, Norfolk, VA 23521 | 2008-12-12 |
| 1679749220 | Christopher J Marquez | Military Health Care Provider | 1840 Gator Blvd, Seal Team Two Bldg 3841, Norfolk, VA 23521 | 2008-05-05 |
| 1902066731 | Scott Lafountaine | Military Health Care Provider | 1840 Cove Road, Naval Special Warfare Group Two Medical Department, Norfolk, VA 23521-2100 | 2008-06-16 |
| 1205018819 | Keith Staples | Military Health Care Provider | 1310 8th St, Suite 100, Norfolk, VA 23521-2416 | 2007-12-05 |
| Find all providers in zip 23521 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447814090 | Francis Anthony Edquid | Military Health Care Provider | 9560 Farragut Ave, Norfolk, VA 23511-2715 | 2019-04-30 |
| 1215591888 | Nash Richard Galvan | Military Health Care Provider | 456-462 Pocahontas St, Norfolk, VA 23511 | 2019-04-29 |
| 1841694684 | Andre Huggins | Military Health Care Provider | 1687 Pocahontas St, Bldg 1a, Norfolk, VA 23511-2918 | 2014-10-21 |
| 1861753030 | Spencer Grey | Military Health Care Provider | 334 E Evans St, Norfolk, VA 23503-5213 | 2012-06-05 |
| 1508155375 | Leonard B Gordon | Military Health Care Provider | Comnavsurflant N02m, 1430 Mitscher Ave, Norfolk, VA 23551-2494 | 2011-04-01 |
| 1073812095 | Eric William Staley | Military Health Care Provider | 7958 Blandy Road, Commander Submarine Force Atlantic, Norfolk, VA 23551-2492 | 2011-03-16 |
| 1497051460 | Mitchell Todd Pearce | Military Health Care Provider | 1004 Hermitage Rd., Norfolk, VA 23521-5000 | 2011-02-08 |
| 1003119538 | Shayla R Robertson | Military Health Care Provider | 150 Allen St, Norfolk, VA 23505-1373 | 2010-12-05 |
| 1053629964 | Shawnly Heath Ward | Military Health Care Provider | Surface Warfare Medical Institute - East, 459 Bellinger Blvd, Norfolk, VA 23511 | 2010-09-14 |
| 1225351760 | Jocelyn Martinezdelgado | Military Health Care Provider | 8857 1st Street, Pcu Jason Dunham Suite 400, Norfolk, VA 23511 | 2010-03-11 |
| Find all providers in NORFOLK | ||||
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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.