DR. PAUL MICHAEL DAVIS (NPI# 1306838552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306838552 |
| Entity Type | Individual |
| Full Name | DR. PAUL MICHAEL DAVIS |
| Credential | M.D. |
| Practice Address |
1666 E Bert Kouns Loop Suite 145 Shreveport LA 71105-5714 |
| Practice Telephone | 3187979199 |
| Practice Fax Number | 3187979193 |
| Mailing Telephone | 3187979199 |
| Mailing Fax Number | 3187979193 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 018928 | LA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134441496 | Paul A. Davis | Social Worker | 3373 N Diamond Butte Way, Tucson, AZ 85745-7128 | 2010-02-26 |
| 1992940803 | Paul Frederic Davis | Dentist | 40217 North Shore Dr., Loon Lake, WA 99148-0765 | 2008-12-05 |
| 1922253251 | Paul Eugene Davis Jr. | Pathology | 10022 Pacific Ave, Franklin Park, IL 60131-1837 | 2008-12-01 |
| 1114197514 | Paul Douglas Davis | Dentist | 213 N 5th St, Petersburg, IL 62675-1303 | 2008-03-03 |
| 1750435574 | Paul Kenneth Davis | Massage Therapist | 715 Yelm Avenue West, Suite # 5, Yelm, WA 98597 | 2007-01-22 |
| 1356416259 | Paul Davis | Dentist | Audrey Egle Drive, Shepherdstown, WV 25443 | 2006-11-24 |
| 1558456079 | Paul Eugene Davis | Chiropractor | 751 N. 20th St., Ozark, MO 65721 | 2006-10-03 |
| 1821197484 | Paul Duane Davis | Family Medicine | 2373 W Main St Ste 102, Salem, WV 26426-7515 | 2006-09-21 |
| 1558466631 | Paul Thomas Davis II | Dentist | 220 Cherokee Rd # A, Florence, SC 29501-5225 | 2006-09-14 |
| 1831102730 | Paul E Davis | Social Worker | 1260 Monroe St Nw Ste 15h, New Philadelphia, OH 44663-4147 | 2006-08-14 |
| Street Address |
1666 E BERT KOUNS LOOP SUITE 145 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-5714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750697314 | Plastic Surgery of Shreveport, Inc | Plastic Surgery | 1666 E Bert Kouns Loop, Ste 145, Shreveport, LA 71105-5714 | 2010-08-20 |
| 1912230244 | Wk Pierremont Psychiatry | Psychiatry & Neurology | 1666 E Bert Kouns Loop, Suite 220, Shreveport, LA 71105-5714 | 2009-09-18 |
| 1184884546 | G. Michelle Gray | Nurse Practitioner | 1666 E Bert Kouns Loop, Suite 225, Shreveport, LA 71105-5714 | 2008-06-10 |
| 1164514774 | Anesthesiology and Pain Management | Anesthesiology | 1666 E Bert Kouns Loop, Suite 125, Shreveport, LA 71105-5714 | 2006-09-29 |
| 1427088020 | Kathryn Kay Kennedy | Psychiatry & Neurology | 1666 E Bert Kouns Loop, Suite 220, Shreveport, LA 71105-5714 | 2006-07-03 |
| 1770519035 | Kay Kennedy Md and Willis-knighton Medical Center | Psychiatry & Neurology | 1666 E Bert Kouns Loop, Suite 220, Shreveport, LA 71105-5714 | 2006-06-25 |
| 1639115132 | Wk Urgent Care Center-pierremont | Internal Medicine | 1666 E Bert Kouns Loop, Suite 105, Shreveport, LA 71105-5714 | 2006-06-22 |
| 1659367175 | Indira Sastry | Internal Medicine | 1666 E Bert Kouns Loop, Suite 225, Shreveport, LA 71105-5714 | 2005-09-20 |
| 1619969292 | Louisiana Neurologic Clinic Amc | Neurological Surgery | 1666 E Bert Kouns Loop, Suite 140, Shreveport, LA 71105-5714 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346879335 | Donesa Walker | Specialist | 8856 Youree Dr Ste D, Shreveport, LA 71115-2514 | 2020-04-02 |
| 1447749304 | Kelly E Rachal, Dvm | Specialist | 4445 Youree Dr, Shreveport, LA 71105-3618 | 2018-05-07 |
| 1407381973 | Dominique Stevenson | Specialist | 6800 Rasberry Lane Apt.1901, Shreveport, LA 71129 | 2017-04-21 |
| 1063816304 | Lisa Dupree | Specialist | 7655 Grimm Rd, Shreveport, LA 71107-3450 | 2014-10-15 |
| 1205256633 | Rhydonia R. Pillars | Specialist | 3110 Bert Kouns Industrial Loop # 11, Ste G, Shreveport, LA 71118-2948 | 2014-04-24 |
| 1912253618 | A Golden Touch Inc | Specialist | 3110 Bert Kouns Industrial Loop Ste G, Box 11, Shreveport, LA 71118 | 2012-07-31 |
| 1396048385 | Thomas J. Worgul, M.d., Apmc | Specialist | 7837 Youree Dr, Shreveport, LA 71105-5505 | 2010-12-13 |
| 1083929954 | Henock G Zabher LLC | Specialist | 8007 Amy Hewes Dr, Shreveport, LA 71115-4605 | 2010-08-16 |
| 1881907624 | Katharine Marie Meldrum | Specialist | 6602 Gilbert Dr, Shreveport, LA 71106-2300 | 2010-07-21 |
| 1033352976 | Jennifer A Perfetto | Specialist | 9809 Hearthside Cir, Shreveport, LA 71118-4830 | 2009-04-08 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
Please comment or provide details below to improve the information on DR. PAUL MICHAEL 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.