DR. JACK M DAVIS (NPI# 1225104250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225104250 |
| Entity Type | Individual |
| Full Name | DR. JACK M DAVIS |
| Credential | D.P.M. |
| Practice Address |
2251 W 900 N Farr West UT 84404-9586 |
| Practice Telephone | 8017328035 |
| Mailing Telephone | 8017328035 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
105902-0501 | UT | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447817127 | Jack Wayland Davis II | Student in an Organized Health Care Education/Training Program | 1109 Flagship Dr, Vallejo, CA 94592-1114 | 2019-05-29 |
| 1235242652 | Jack Justin Davis | Dentist | 543 West Ave, Rifle, CO 81650-3553 | 2006-08-17 |
| 1396297966 | Jack Davis | Peer Specialist | 665 136th Ave, Suite 50, Holland, MI 49424-1897 | 2016-10-31 |
| 1063529162 | Jack Mathew Davis | Nurse Practitioner | 18th Medcom, Attn: Dccs-qm (credentials), Apo, AP 96205-0054 | 2006-08-24 |
| Street Address |
2251 W 900 N |
| City | FARR WEST |
| State | UT |
| Zip Code | 84404-9586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881159648 | Bingham Marriage & Family Counseling | Counselor | 1812 W 2000 N #1, Ogden, UT 84404 | 2019-02-06 |
| 1609362094 | Hoopes Dental | Dentist | 333 2nd St. Suite 1a, Ogden, UT 84404 | 2018-07-09 |
| 1497241384 | Alysia Cohen | Specialist/Technologist | 1527 9th Street, Ogden, UT 84404 | 2018-07-03 |
| 1235648049 | Walk Perfect, Inc. | Podiatrist | 1069 S. Stewart Dr, Suite 1, Ogden, UT 84404 | 2017-09-25 |
| 1043738602 | Veronica Skidmore | Specialist/Technologist | 3848 Harrison Blvd., Ogden, UT 84404 | 2017-09-05 |
| 1134645526 | Pco-kta, LLC | Pharmacy | 3673 West 2600 North, Plain City, UT 84404 | 2017-08-17 |
| 1568899227 | Alisa Roberts | Marriage & Family Therapist | 1181 Christmas Box Lane, Ogden, UT 84404 | 2013-09-26 |
| 1366796351 | Kenneth Andrew Boothe | Chiropractor | 1920 North 250 West, Suite 24, Ogden, UT 84404 | 2012-10-30 |
| 1760730659 | Mercury Medical LLC | Durable Medical Equipment & Medical Supplies | 3385 W 2525 N, Plain City, UT 84404 | 2012-08-27 |
| 1700131471 | Tina Middleton | Massage Therapist | 1700w 2700n, # 37, Pleasant View, UT 84404 | 2012-07-19 |
| Find all providers in zip 84404 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235648049 | Walk Perfect, Inc. | Podiatrist | 1069 S. Stewart Dr, Suite 1, Ogden, UT 84404 | 2017-09-25 |
| 1053560789 | Susan Jespersen Agres | Podiatrist | 5275 Adams Ave Pkwy, Suite A, Ogden, UT 84405-6748 | 2008-09-18 |
| 1144267089 | Gary R Ridge | Podiatrist | 157 N 400 W, Orem, UT 84057-1909 | 2006-05-31 |
| 1023013794 | William Woodrow Martin | Podiatrist | 550 E 1400 N, Ste N, Logan, UT 84341-2450 | 2005-06-17 |
| 1730697897 | Final Kick Ankle and Foot Clinic LLC | Podiatrist | 476 Williams Way Ste B, Moab, UT 84532-2186 | 2018-01-11 |
| 1821492018 | Arches Family Foot Care LLC | Podiatrist | 65 East 100 North, Gunnison, UT 84634-0702 | 2014-10-16 |
| 1881945608 | Central Utah Foot Clinic, LLC | Podiatrist | 120 N 1220 E, Ste 12, American Fork, UT 84003-2089 | 2012-09-20 |
| 1760664668 | Dr Lorell Fawson Dpm | Podiatrist | 3590 Harrison Blvd, Suite G1, Ogden, UT 84403-2060 | 2007-12-03 |
| 1013007632 | Ryan Taylor Rushton | Podiatrist | 7495 S State St, Midvale, UT 84047-2013 | 2006-10-13 |
| 1841202397 | Stanley J Phillips | Podiatrist | 9690 S 1300 E, Suite 120, Sandy, UT 84094-3721 | 2006-08-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JACK M DAVIS.
| 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.