DR. EBONEE L DAVIS (NPI# 1295725646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295725646 |
| Entity Type | Individual |
| Full Name | DR. EBONEE L DAVIS |
| Credential | MD |
| Practice Address |
211 N Eddy St South Bend IN 46617-2808 |
| Practice Telephone | 5742379340 |
| Practice Fax Number | 5742391474 |
| Mailing Telephone | 5742379340 |
| Mailing Fax Number | 5742391474 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2016-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 01060624A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200528010 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154788784 | Ebonee Davis | Behavioral Analyst | 3066 Antrim Cir, Dumfries, VA 22026-3318 | 2016-01-27 |
| 1487152906 | Ebonee Davis | Counselor | 500 Redland Ct Ste 204, Owings Mills, MD 21117-3266 | 2018-01-30 |
| 1992957435 | Ebonee J Davis | Registered Nurse | 275 Cumberland Bnd, Nashville, TN 37228-1805 | 2008-10-15 |
| Street Address |
211 N EDDY ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46617-2808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073511598 | Ron Clark | Orthopaedic Surgery | 211 N Eddy St, South Bend, IN 46617-2808 | 2005-07-08 |
| 1760082002 | Nicole A Scheidler | Nurse Practitioner | 211 N Eddy St, South Bend, IN 46617-3096 | 2020-10-27 |
| 1205473451 | Integrative Care Partners LLC | Specialist | 211 N Eddy St, South Bend, IN 46617-2808 | 2019-12-06 |
| 1144882069 | Briana R Weidler-edholm | Nurse Practitioner | 211 N Eddy St, South Bend, IN 46617-3096 | 2019-07-01 |
| 1861052029 | Suzanne Marie Holmes | Nurse Practitioner | 211 N Eddy St, South Bend, IN 46617-3096 | 2019-06-19 |
| 1609436864 | Philip D Dibert | Nurse Practitioner | 211 N Eddy St, South Bend, IN 46617-3096 | 2019-06-19 |
| 1851865174 | Jessica S Evans | Nurse Practitioner | 211 N Eddy St, South Bend, IN 46617-2808 | 2019-01-21 |
| 1467929570 | Sabrina Jovita Lopez | Nurse Practitioner | 211 N Eddy St, South Bend, IN 46617-2808 | 2018-10-26 |
| 1326515701 | Kara L Kaiser | Nurse Practitioner | 211 N Eddy St, South Bend, IN 46617-2808 | 2018-10-24 |
| 1962902254 | Sarah Sue Humes | Registered Nurse | 211 N Eddy St, South Bend, IN 46617 | 2018-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740731116 | Jack Mcintyre Kimmell | Specialist/Technologist | 1526 East Lasalle, South Bend, IN 46617 | 2016-10-20 |
| 1023429115 | Morning View Assisted Living LLC | Assisted Living Facility | 475 N. Niles Avenue, South Bend, IN 46617 | 2014-05-12 |
| 1265861231 | Rebecca Busenbark | Physical Therapist | 401 E Colfax Ave Ste 102, South Bend, IN 46617 | 2013-11-11 |
| 1962709071 | Doreen Danice Huddleston | Social Worker | 928 East Wayne St, Suit C, South Bend, IN 46617 | 2011-02-25 |
| 1487981734 | Mary Cecilia Roemer | Marriage & Family Therapist | 616 E. Colfax Ave, South Bend, IN 46617 | 2009-11-06 |
| 1225264054 | Sridhar Meda | Dentist | 1005 East Lasalle Ave, South Bend, IN 46617 | 2009-06-08 |
| 1063673531 | Madeline Christina Watkins | Counselor | 616 E Colfax, South Bend, IN 46617 | 2008-06-18 |
| 1437366481 | Michael Reed Johns | Dentist | 103 South Eddy Street, South Bend, IN 46617 | 2007-05-17 |
| 1194937680 | Sarah Elizabeth Redman | Specialist/Technologist | 53880 Carmichael Dr., South Bend, IN 46617 | 2007-05-04 |
| 1124241211 | Trixy Franke | Family Medicine | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-04-10 |
| Find all providers in zip 46617 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1962862334 | Saint Jude Offices, LLC | Internal Medicine | 328 N Michigan St, Suite F3, South Bend, IN 46601-1244 | 2016-02-29 |
| 1396154324 | Saint Joseph Regional Medical Center South Bend Campus, Inc. | Internal Medicine | 234 Chapin St Ste I (i), South Bend, IN 46601-2571 | 2014-08-04 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1225235336 | Sylvana Atallah | Internal Medicine | 328 N Michigan St Ste F3, First Floor, South Bend, IN 46601-1241 | 2007-07-02 |
| 1730194416 | Edna Pamatmat | Internal Medicine | 1901 W Western Ave Ste B, South Bend, IN 46619-3570 | 2006-07-30 |
| 1447220843 | Mark Douglas Fox | Internal Medicine | 1234 N Notre Dame Ave, South Bend, IN 46617-1404 | 2006-01-26 |
| 1649261710 | Susan R Hart-cavallo | Internal Medicine | 720 Cedar St, Suite 400, South Bend, IN 46617-2060 | 2005-10-28 |
| 1194102723 | Patricia C Osmolak | Internal Medicine | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2015-05-04 |
| 1285011957 | Jason Stegink | Internal Medicine | 615 N Michigan St, South Bend, IN 46601 | 2015-05-01 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46617 |
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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.