JASON DAVIS


Address: 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503
Phone: 9528833150

JASON DAVIS (NPI# 1306170808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306170808
Entity Type Individual
Full Name JASON DAVIS
Credential PA-C
Practice Address 3900 Park Nicollet Blvd
St Louis Park
MN 55416-2503
Practice Telephone 9528833150
Mailing Telephone 9528833150
Enumeration Date 2009-09-30
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 10786 MN Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
10786 MN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN 1306170808 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
705 Pleasant Ave S, Park Rapids, MN 564701440 2187322800 2187322857

Other Providers JASON DAVIS

NPI Name Taxonomy Address Enumeration
1356870927 Jason Thomas Davis Counselor 2530 Crawford Ave Ste 208, Evanston, IL 60201-4959 2017-06-07
1124443486 Jason Davis Physical Therapy Assistant 1840 Hudson Hollow Rd, Stephens City, VA 22655-3330 2014-02-24
1306133392 Jason O. Davis Dentist 4552 Kings Hwy, Brooklyn, NY 11234-2028 2011-06-29
1023322633 Jason Brandon Davis Emergency Medical Technician, Basic 172 Elvington Ln, Lexington, SC 29073-8875 2010-08-06
1285809475 Jason Evan Davis Surgery 150 Bergen Avenue, Uh Division of Vascular Surgery, Newark, NJ 07103 2008-04-28
1467424606 Jason M Davis Pediatrics 183 Cherry St, New Canaan, CT 06840-4820 2006-02-02
1174513832 Jason Davis Chiropractor 16 Highland Spring Rd, Lewiston, ME 04240-3856 2005-10-25
1023632205 Jason Davis Physician Assistant 590 Court St, Keene, NH 03431-1719 2020-06-03
1174029870 Jason Davis General Practice 619 19th St South, Jt N338, Birmingham, AL 35071 2018-04-02
1205352614 Jason Michael Davis Physical Therapy Assistant 13220 Usf Laurel Drive, Tampa, FL 33612 2017-08-17

Office Location

Street Address 3900 PARK NICOLLET BLVD
City ST LOUIS PARK
State MN
Zip Code 55416-2503

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447259395 Ann Kolar Chinnakotla Nurse Practitioner 3900 Park Nicollet Blvd, 3rd Floor Urology, St Louis Park, MN 55416-2503 2005-07-21
1073980454 Teresa Slepicka Optometrist 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 2015-09-01
1194113217 Park Nicollet Methodist Hospital General Acute Care Hospital 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 2014-12-23
1164837373 Erin Marie Sinkoff Optometrist 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2505 2014-06-25
1477827236 Christine Kroll Optometrist 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 2012-02-26
1972837706 Laura J Heinmiller Ophthalmology 3900 Park Nicollet Blvd, Suite 230, St Louis Park, MN 55416-2503 2009-09-26
1134389463 Hans S Grinager Ophthalmology 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 2008-06-10
1407974561 Jonathan Pribila Ophthalmology 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 2007-03-27
1487668919 David Warren Pederson Podiatrist 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 2006-07-28
1851346753 Paul S Vietzen Surgery 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 2006-05-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639711492 Ismahan Abdirahman Mohamed Psychologist 4236 Parkglen Rd, St Louis Park, MN 55416 2019-10-14
1598307860 Ayman Abulaziz Mohamed Counselor 4326 Park Glen Rd, St Louis Park, MN 55416 2019-10-08
1831758929 Ally Group Homes LLC Assisted Living Facility 2944 Princeton Ave South, Saint Louis Park, MN 55416 2019-06-11
1609371525 Heather Margaret Flatgard Chiropractor 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 2018-03-25
1942702394 Polaris Pharmacy Services of Minnesota, LLC Pharmacy 4220 Park Glen Road, St. Louis Park, MN 55416 2018-03-01
1316469760 Evert Ray Boyd Psychologist 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 2017-07-07
1861941684 Amanda Marie Tapper Marriage & Family Therapist 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 2016-09-22
1326410416 Clear Health Chiropractic LLC Chiropractor 5614 W 36th St, St. Louis Park, MN 55416 2015-10-28
1568897833 Kay Elizabeth Lichtenberger Physical Therapist 4415 W 36.5 St, St. Louis Park, MN 55416 2013-09-05
1710221510 Aaron Christopher Oppelt Counselor 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 2012-11-16
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780284844 Lily Ganz Physician Assistant 2737 Huntington Ave, St Louis Park, MN 55416-3917 2020-10-28
1710298336 Scott Marshall Schmaedeke Physician Assistant 1155 Ford Rd Ste B, St Louis Park, MN 55426-1115 2010-06-29
1821075425 Courtney L Scott Physician Assistant 6490 Excelsior Blvd # E500, Park Nicollet Clinic - Meadowbrook, St Louis Park, MN 55426 2005-12-27
1619504768 Devanie Tucker Physician Assistant 3808 Grand Way, St Louis Park, MN 55416-4788 2020-03-26
1083257612 Kaylie Marie Laplante Physician Assistant 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 2019-10-27
1164994133 Erik Junso Physician Assistant 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 2019-01-01
1144790866 Ashley Marie Overby Physician Assistant 5525 Cedar Lake Rd S, St Louis Park, MN 55416-1420 2018-11-26
1043790553 Jack William Bergman Physician Assistant 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 2018-08-15
1164922910 Lisa Mary Huset Physician Assistant 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 2018-02-19
1114435773 Adam James Uithoven Physician Assistant 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2018-01-17
Find all providers in ST LOUIS PARK

Competitor

Search similar providers

City ST LOUIS PARK
Zip Code 55416

Improve Information

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Dataset Information

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.

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