ANDREW AGEN DAVIS (NPI# 1245247634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245247634 |
Entity Type | Individual |
Full Name | ANDREW AGEN DAVIS |
Credential | MD |
Practice Address |
8541 S State St Suite 8 Chicago IL 60619-5665 |
Practice Telephone | 7738747711 |
Practice Fax Number | 7738744721 |
Mailing Telephone | 7738747711 |
Mailing Fax Number | 7738744721 |
Enumeration Date | 2006-08-01 |
Last Update Date | 2015-02-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036054434 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036054434 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205392008 | Andrew Marshall Davis | Counselor | 320 E Warner Ave, Fresno, CA 93710-3711 | 2019-02-16 |
1396174850 | Andrew Davis | Rehabilitation Practitioner | 6731 Sugarbird Ct, North Las Vegas, NV 89084-2227 | 2013-11-05 |
1134416449 | Andrew Ryan Davis | Obstetrics & Gynecology | 615 South New Ballas Road - Ob/gyn Department, St. Louis, MO 63141 | 2011-07-07 |
1134353816 | Andrew James Davis | Counselor | 963 Logan St, #22, Denver, CO 80203-3017 | 2009-05-08 |
1851576367 | Andrew J Davis | Counselor | 777 W Market St Ste C3, Akron, OH 44303-1092 | 2008-01-02 |
1922012582 | Andrew Davis | Ophthalmology | 9040a Fitzsimmons St, Tacoma, WA 98433-2010 | 2006-07-28 |
1780627083 | Andrew Brian Davis | Physical Therapist | 216 W Redwood St, Edgar, WI 54426 | 2006-06-14 |
1770582918 | Andrew Alexander Davis | Pharmacist | 4200 East Ninth Ave, Denver, CO 80262-0001 | 2005-07-19 |
1326668989 | Andrew Davis | Student in an Organized Health Care Education/Training Program | 3200 S University Dr, Davie, FL 33328-2018 | 2020-04-23 |
1245867100 | Andrew Joseph Davis | Student in an Organized Health Care Education/Training Program | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2020-03-23 |
Street Address |
8541 S STATE ST SUITE 8 |
City | CHICAGO |
State | IL |
Zip Code | 60619-5665 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811978059 | Latifah Sabree | Neuromusculoskeletal Medicine, Sports Medicine | 8541 S State St, Suite 8, Chicago, IL 60619-5665 | 2005-11-07 |
1679868012 | Community Mental Health Council, Inc. | Community/Behavioral Health | 8541 S State St, Chicago, IL 60619-5665 | 2011-06-14 |
1215267786 | Medical Associates of Chatam, Ltd | Clinic/Center | 8541 S State St, Suite #9, Chicago, IL 60619-5665 | 2010-01-06 |
1972731172 | Kortnee Y. Roberson | Family Medicine | 8541 S State St, Suite 4, Chicago, IL 60619-5665 | 2009-06-25 |
1578754958 | Shelley Allison Sandiford | Family Medicine | 8541 S State St, Chicago, IL 60619 | 2007-08-09 |
1992902597 | Pierre Rene Noisette Md Sc | Pediatrics | 8541 S State St, Suite 1, Chicago, IL 60619-5665 | 2007-06-28 |
1275758260 | Valencia M Ray Md Sc | Ophthalmology | 8541 S State St, Suite 5, Chicago, IL 60619-5665 | 2007-04-16 |
1457484586 | Evelyn Frances Taylor Currie | Internal Medicine | 8541 S State St, Suite1, Chicago, IL 60619-5665 | 2007-03-14 |
1366572380 | Raj K Goyal Md Sc | Ophthalmology | 8541 S State St, Suite # 5, Chicago, IL 60619-5665 | 2007-03-07 |
1477624120 | Alicia Ann Stovell | Technician/Technologist | 8541 S State St, Chicago, IL 60619-5665 | 2006-11-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457985061 | Tonia Dorsey | Durable Medical Equipment & Medical Supplies | 951 E 80th Street, Apt 1, Chicago, IL 60619 | 2020-02-24 |
1821635509 | Lisa Strader | Technician | 8605 S. Dorchester, Chicago, IL 60619 | 2019-12-02 |
1821647579 | Deborah Joves | Technician | 8258 S. Woodlawn Ave, Chicago, IL 60619 | 2019-09-05 |
1194372458 | Cognitive Focus Centers, Inc. | Clinic/Center | 901 E 95th St, Chicago, IL 60619 | 2019-08-21 |
1588136360 | Zantraquilla Z Madkins | Transportation Broker | 7829 South Wabash, Chicago, IL 60619 | 2018-12-18 |
1619447497 | Bria Stanciel | Case Manager/Care Coordinator | 8419 S Cottage Grove, Chicago, IL 60619 | 2018-12-05 |
1184153520 | Jordane Kelley | Nurse's Aide | 7339 S Wabash Ave, Chicago, IL 60619 | 2017-06-08 |
1205362977 | Kristen Suing | Psychologist | 1111 E 87th St Ste 300, Chicago, IL 60619 | 2017-05-02 |
1720525280 | Senior Healthcare Services Inc | Physical Therapist | 9133 South Stoney Island, Chicago, IL 60619 | 2017-01-23 |
1932652567 | Md Orthotic & Prosthetic Laboratory, Inc. | Prosthetic/Orthotic Supplier | 1514 E 87th St Lowr Level, Chicago, IL 60619 | 2016-08-01 |
Find all providers in zip 60619 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427457399 | Charles Joseph Frahm | Internal Medicine | 1200 E Madison Park, Chicago, IL 60615-2961 | 2014-08-17 |
1225447725 | Jeremy R. Estrada | Internal Medicine | 5841 S Maryland Ave # Mc5841, Chicago, IL 60637-1447 | 2014-08-08 |
1285049197 | Nidhi Madan | Internal Medicine | 1717 W Congress Pkwy Ste 317, Chicago, IL 60612 | 2014-06-30 |
1588097596 | Atif Khawaja Hassan | Internal Medicine | 5140 N California Ave Ste 740, Chicago, IL 60625-7066 | 2013-08-13 |
1952651382 | Rajeev Ruben Fernando | Internal Medicine | 365 N Jefferson St, 2712, Chicago, IL 60661-1226 | 2012-09-13 |
1174888945 | Mohammad Tarek Kabbany | Internal Medicine | 676 N Saint Clair St Ste 7-730, Chicago, IL 60611-2927 | 2012-07-09 |
1740589175 | United Diagnostic Services, LLC | Internal Medicine | 6124 N Milwaukee Ave Ste 2, Chicago, IL 60646-3820 | 2011-03-24 |
1932361433 | Sanjay S Gill | Internal Medicine | 2266 N. Lincoln Ave., 3, Chicago, IL 60614 | 2008-06-26 |
1053571208 | Curewell Diagnostic Services LLC | Internal Medicine | 6124 N Milwaukee Ave Ste 1, Chicago, IL 60646-3820 | 2008-06-11 |
1972760718 | Steve Attanasio | Internal Medicine | 1725 W Harrison St Ste 1159, Chicago, IL 60612 | 2008-05-20 |
Find all providers in CHICAGO |
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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.