KEITH R DAVIS (NPI# 1235129859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235129859 |
| Entity Type | Individual |
| Full Name | KEITH R DAVIS |
| Credential | MD |
| Practice Address |
7988 W Jefferson Blvd Fort Wayne IN 46804-4140 |
| Mailing Address |
2518 E Dupont Rd Fort Wayne IN 46825-1675 |
| Practice Telephone | 2604324400 |
| Practice Fax Number | 2609696898 |
| Mailing Telephone | 2604324400 |
| Mailing Fax Number | 2609696898 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2018-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 01042294A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200001020 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225668213 | Keith Davis | Registered Nurse | 10 Elpaso Ct, East Northport, NY 11731-5628 | 2020-01-19 |
| 1184183758 | Keith J Davis | Psychologist | 8113 Crimson Creek Ct, Las Vegas, NV 89139-6909 | 2019-03-13 |
| 1982115036 | Keith W Davis | Chiropractor | 815 E Baseline Rd Ste 106, Tempe, AZ 85283-1572 | 2017-10-17 |
| 1154682573 | Keith Phillip Davis | Pharmacist | 8640 Se Causey Ave Apt S202, Happy Valley, OR 97086-8595 | 2012-06-01 |
| 1528184199 | Keith Alan Davis | Chiropractor | 4640 N Francisco Ave, Chicago, IL 60625-3723 | 2007-03-22 |
| 1346315025 | Keith L Davis | Dentist | 100 Chelsea Corners Way Ste 113, Chelsea, AL 35043-8207 | 2006-11-21 |
| 1952488215 | Keith L Davis | Family Medicine | 741 Scholl Rd, Ste A, Mansfield, OH 44907 | 2006-11-01 |
| 1639268089 | Keith Alan Davis | Ophthalmology | 1011 Sylvan Ave Ste C, Modesto, CA 95350-1693 | 2006-10-12 |
| 1699875419 | Keith G Davis | Chiropractor | 722 Front Street, Casselton, ND 58012-3302 | 2006-09-22 |
| 1104849884 | Keith C. Davis | Dentist | 975 N Church St, Spartanburg, SC 29303-4104 | 2006-07-25 |
| Street Address |
7988 W JEFFERSON BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-4140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588659064 | Tracy L Bellavance | Obstetrics & Gynecology | 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2005-09-12 |
| 1609277490 | Caroline Calvert | Nurse Practitioner | 7988 W Jefferson Blvd, Suite 325, Fort Wayne, IN 46804-4140 | 2014-09-11 |
| 1609047026 | Sandra A Krizmanich | Obstetrics & Gynecology | 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2008-03-13 |
| 1598961393 | Joshua Michael Wallet | Colon & Rectal Surgery | 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2007-06-27 |
| 1265636138 | Charles Lamont Morrison | Colon & Rectal Surgery | 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2007-06-13 |
| 1972685543 | Nina P Levenda | Obstetrics & Gynecology | 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2006-10-20 |
| 1821184052 | Nadine L Floyd | Colon & Rectal Surgery | 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2006-10-05 |
| 1619967031 | Amy Weaver | Nurse Practitioner | 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2005-10-26 |
| 1629068291 | Staci L Wall | Registered Nurse | 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2005-10-25 |
| 1679563399 | Lucia A. Fouts Grubbs | Obstetrics & Gynecology | 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2005-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609056779 | Allen County Ob-gyn Associates, PC | Obstetrics & Gynecology | 800 Broadway Ste 315, Fort Wayne, IN 46802-2149 | 2007-11-06 |
| 1598806937 | Obstetrics and Gynecology Associates of Fort Wayne PC | Obstetrics & Gynecology | 7802 W Jefferson Blvd, Fort Wayne, IN 46804-4138 | 2007-02-09 |
| 1124063102 | Judy L. Zacher | Obstetrics & Gynecology | 3974 New Vision Drive, Fort Wayne, IN 46845-1712 | 2006-06-16 |
| 1275515801 | Jyothirmai K Reddy | Obstetrics & Gynecology | 7802 W. Jefferson Blvd, Fort Wayne, IN 46804 | 2005-11-18 |
| 1457341182 | H N Ramaprakash | Obstetrics & Gynecology | 7635 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2005-10-25 |
| 1639168404 | Kendra T Karner | Obstetrics & Gynecology | 11123 Parkview Plaza Dr Ste 101, Fort Wayne, IN 46845-1707 | 2005-10-14 |
| 1568458990 | Carolyn Warner Greer | Obstetrics & Gynecology | 1415 Directors Row, Fort Wayne, IN 46808 | 2005-09-21 |
| 1588659064 | Tracy L Bellavance | Obstetrics & Gynecology | 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2005-09-12 |
| 1306838321 | Althea J. Jackson | Obstetrics & Gynecology | 2510 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1600 | 2005-08-16 |
| 1255332664 | Lora Overton | Obstetrics & Gynecology | 3217 Lake Ave, Fort Wayne, IN 46805-5427 | 2005-08-09 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
Please comment or provide details below to improve the information on KEITH R 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.