DR. JEFFERSON JOHN DAVIS (NPI# 1265406755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265406755 |
| Entity Type | Individual |
| Full Name | DR. JEFFERSON JOHN DAVIS |
| Credential | DO |
| Practice Address |
400 E 3rd St Duluth MN 55805-1951 |
| Practice Telephone | 2187868364 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2016-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 48352 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 258493000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669523502 | Jefferson K Davis | Psychiatry & Neurology | 300 Galisteo St, Ste 201, Santa Fe, NM 87501-2607 | 2007-01-16 |
| 1518992197 | Jefferson Charles Davis | Chiropractor | 12307 Highway 707, Murrells Inlet, SC 29576-9740 | 2006-07-11 |
| 1720070014 | Jefferson U Davis | Specialist | 1912 Arlington Ln, Albany, GA 31701-1341 | 2005-08-22 |
| Street Address |
400 E 3RD ST |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-1951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134122799 | Janet S. Bennett | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2005-05-27 |
| 1386250454 | Erin Elizabeth Kukowski | Nurse Anesthetist, Certified Registered | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-09-23 |
| 1760096416 | Janine M Cook | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-09-01 |
| 1912510694 | Emily Stunek | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-08-24 |
| 1831709781 | Sarah Ann Yokel | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-08-05 |
| 1063020352 | Natalie R Halverson | Speech-Language Pathologist | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-07-22 |
| 1588272470 | Danielle M Huber | Clinical Neuropsychologist | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-07-17 |
| 1326663733 | Bonnie M Gustafson | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-06-11 |
| 1265057640 | Sonja E Hanson | Registered Nurse | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-06-11 |
| 1588203061 | Erin Laveau-allen | Student in an Organized Health Care Education/Training Program | 400 E 3rd St, Duluth, MN 55805-1951 | 2019-12-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852180 | Peace of Mind of Duluth, Inc. | Community/Behavioral Health | 1000 East 1st Street, Suite 100, Duluth, MN 55805 | 2017-10-19 |
| 1891213419 | Arielle Skalisky | Registered Nurse | 400 E. 3rd Street, Duluth, MN 55805 | 2017-09-04 |
| 1457886400 | Chefrdn, LLC | Dietitian, Registered | 1101 East 4th Street, Duluth, MN 55805 | 2017-04-27 |
| 1962811604 | Claire Elena Kap | Nurse Practitioner | Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 | 2014-08-06 |
| 1598196313 | Kelsey Lindsay Putvin | Audiologist | 400 E 3rd St., Duluth, MN 55805 | 2013-12-04 |
| 1639462997 | James F Conniff | Family Medicine | Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 | 2011-05-19 |
| 1215237433 | Bobby Jo Mineheine | Speech-Language Pathologist | 530 East Second St, Polinsky Medical Rehab Ctr, Duluth, MN 55805 | 2010-10-22 |
| 1891004248 | Robin Michelle Warfel | Occupational Therapist | 530 East 2nd Street, Polinsky Medical Rehabilitation Center, Duluth, MN 55805 | 2010-10-04 |
| 1154638716 | Jennifer Chen | Pharmacist | 420 E 1st St Mail Drop 1s3w10, Duluth, MN 55805 | 2010-09-02 |
| 1376858084 | Jennifer Lynn Howard | Pharmacist | 211 West Fourth Street, Center for American Indian Resources, Duluth, MN 55805 | 2010-08-18 |
| Find all providers in zip 55805 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255865424 | Academy Orthopedics, LLC | Orthopaedic Surgery | 3540 Duluth Park Ln Ste 200, Duluth, GA 30096-6608 | 2017-04-14 |
| 1124258223 | Glen H Rudolph | Orthopaedic Surgery | 1000 E 1st St Ste 404, Duluth, MN 55805-2297 | 2009-07-23 |
| 1972718328 | Saadiq Farid El-amin IIi | Orthopaedic Surgery | 3855 Pleasant Hill Rd Ste 270, Duluth, GA 30096-8093 | 2007-05-11 |
| 1881791200 | Gwinnett Orthopaedic & Sports Medicine | Orthopaedic Surgery | 1455 Pleasant Hill Road, Suite 501, Duluth, GA 30096 | 2006-09-20 |
| 1417068206 | Rick K St Pierre | Orthopaedic Surgery | 10680 Medlock Bridge Road, Ste 102, Duluth, GA 30097 | 2006-08-31 |
| 1144231960 | William R Lundberg | Orthopaedic Surgery | 1012 E 2nd St Bldg A4th, Duluth, MN 55805-2200 | 2006-08-10 |
| 1164486817 | Jean Gerald Nougaisse | Orthopaedic Surgery | 3400 Mcclure Bridge Rd Bldg B, Duluth, GA 30096-6675 | 2006-04-12 |
| 1831699958 | Regenerative Sports Medicine Inc | Orthopaedic Surgery | 3855 Pleasant Hill Rd, Duluth, GA 30096-1407 | 2018-02-15 |
| 1144735879 | Sfe Advanced Medical Consulting Inc | Orthopaedic Surgery | 3855 Pleasant Hill Rd Ste 270, Duluth, GA 30096-8093 | 2017-12-04 |
| 1649655283 | Academy Orthopedics LLC | Orthopaedic Surgery | 3540 Duluth Park Lane, Ste 220, Duluth, GA 30096 | 2015-07-24 |
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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.