SAMUEL WAYNE DAVIS (NPI# 1336407758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336407758 |
| Entity Type | Individual |
| Full Name | SAMUEL WAYNE DAVIS |
| Credential | MD |
| Practice Address |
1010 A St Greeley CO 80631-2021 |
| Mailing Address |
2930 11th Ave Evans CO 80620-1011 |
| Practice Telephone | 9703130400 |
| Practice Fax Number | 9703130404 |
| Mailing Telephone | 9703504606 |
| Mailing Fax Number | 9703504645 |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2016-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 52933 | CO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750748059 | Samuel Christian Davis | Specialist/Technologist | 1300 Cimarron Cirlce, 101, Fairborn, OH 45324-6205 | 2016-01-19 |
| 1740576164 | Samuel Davis | Developmental Therapist | 1200 N Central Ave Ste 212, Kissimmee, FL 34741-4440 | 2011-06-23 |
| 1710286711 | Samuel Clayton Davis | Pharmacist | 13353 Cleveland Ave Nw, Uniontown, OH 44685-8441 | 2011-03-16 |
| 1831339977 | Samuel Davis | Chiropractor | 185 Lake Dr, Lake Peekskill, NY 10537-1344 | 2009-03-03 |
| 1295911204 | Samuel C Davis Jr. | Counselor | 29086 Jordan Pond Dr, Albemarle, NC 28001-6419 | 2008-01-21 |
| 1497949192 | Samuel Edward Davis IIi | Adult Companion | 545 Ne 21st Ln, Apartment C, Gainesville, FL 32609-6713 | 2007-09-05 |
| 1851514046 | Samuel H Davis | Pediatrics | 604 E Bailey Boswell Rd Ste 140, Saginaw, TX 76131-3568 | 2007-04-10 |
| 1982631768 | Samuel P Davis IIi | Otolaryngology | 601 Keisler Dr Ste 200, Cary, NC 27518-6567 | 2006-06-27 |
| 1073592697 | Samuel Davis | Dentist | Randolph Road, Cowan Dental Clinic Bldg 605, Ft. Sill, OK 73503 | 2006-01-12 |
| 1205316965 | Samuel Anthony Davis Jr. | Technician/Technologist | 150 South Huntington Avenue, Jamaica Plain, MA 02130 | 2018-08-21 |
| Street Address |
1010 A ST |
| City | GREELEY |
| State | CO |
| Zip Code | 80631-2021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437135613 | Deborah Archer | Pediatrics | 1010 A St, Greeley, CO 80631-2021 | 2005-12-19 |
| 1174149983 | Diana Lynn Bailey | Nurse Practitioner | 1010 A St, Greeley, CO 80631-2021 | 2020-06-18 |
| 1184107690 | Chelsea Maier | Physician Assistant | 1010 A St, Greeley, CO 80631-2021 | 2018-09-11 |
| 1255813341 | Rainer Linnemeyer | Nurse Practitioner | 1010 A St, Greeley, CO 80631-2021 | 2018-09-05 |
| 1205236072 | Sunrise Community Health | Clinic/Center | 1010 A St, Greeley, CO 80631-2021 | 2014-08-29 |
| 1124427703 | Kaitlyn Weigang | Physician Assistant | 1010 A St, Greeley, CO 80631-2021 | 2014-08-19 |
| 1780095141 | Bryce C Spitze | Family Medicine | 1010 A St, Greeley, CO 80631 | 2014-05-19 |
| 1104991496 | Patty Lee Beecroft | Specialist | 1010 A St, Greeley, CO 80631-2021 | 2006-11-21 |
| 1306872445 | Teresa Diane Loftin | Family Medicine | 1010 A St, Greeley, CO 80631-2021 | 2006-06-23 |
| 1619935996 | Carolyn Louise Bottone-post | Advanced Practice Midwife | 1010 A St, Greeley, CO 80631-2021 | 2006-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497395743 | Marcia Martinez | Peer Specialist | 1700 N 17th Ave, Greeley, CO 80631 | 2020-01-14 |
| 1073083036 | Ryan Lawhead | Specialist/Technologist | 270 Alles Dr. D, Butler Hancock Athletic Center, Greeley, CO 80631 | 2018-12-03 |
| 1447766647 | Patricia G Ferguson | Counselor | 14272 Wcr 72, Greeley, CO 80631 | 2017-12-26 |
| 1760902662 | Robert Anthony Rexroad | Counselor | 1300 N. 17th Avenue, Greeley, CO 80631 | 2017-06-21 |
| 1326577750 | Danielle Rodriguez | Psychologist | 1300 N. 17th Ave, Greeley, CO 80631 | 2017-06-08 |
| 1790157865 | Safeway | Pharmacy | 3526 W 10th Street, Greeley, CO 80631 | 2015-10-28 |
| 1245574508 | Jayme L Clapp | Counselor | 1407 8th Ave, Greeley, CO 80631 | 2012-11-26 |
| 1114246006 | Cynthia Melissa Gitler | Emergency Medicine | Banner Health, North Colorado Medical Center, 1601 18th Street, Greenley, CO 80631 | 2010-05-18 |
| 1942438023 | Khoi Dinh Le | Surgery | 1800 15th St., Suite 200, Greeley, CO 80631 | 2009-06-26 |
| 1174760011 | Darwin James Hargrave | Counselor | 912 9th Ave., #222, Greeley, CO 80631 | 2009-01-14 |
| Find all providers in zip 80631 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111381 | Paladina Health, LLC | Family Medicine | 3400 W 16th St Ste Y, Greeley, CO 80634-6862 | 2020-10-09 |
| 1598281875 | Front Range Clinic Inc. | Family Medicine | 3400 W 16th St Unit 1-dd, Greeley, CO 80634-6862 | 2017-08-17 |
| 1164710182 | Jose Luis Lopez Rivera | Family Medicine | 1801 16th St # 80631, Greeley, CO 80631-5154 | 2011-07-11 |
| 1396040259 | Howard County Medical Center | Family Medicine | 109 W Oconnor Ave, Greeley, NE 68842 | 2011-01-24 |
| 1598940819 | Marianne Veronica Lyons | Family Medicine | Unc Student Health Cassidy Hall, 1901 10th Ave, Greeley, CO 80639-0001 | 2008-01-05 |
| 1699860296 | Mary Christine Obrien | Family Medicine | Greeley Cboc, 2020 16th St,suite1, Greeley, CO 80634 | 2006-10-03 |
| 1326050550 | Gregory Donald Denzel | Family Medicine | 2928 W 10th St, Greeley, CO 80634-5426 | 2006-08-13 |
| 1497714935 | Marc Ringel | Family Medicine | 2726 W 11th Street Rd, Greeley, CO 80634-5408 | 2006-03-22 |
| 1427023225 | Donald Craig Wilson | Family Medicine | 2520 W 16 St, Greeley, CO 80634 | 2006-02-23 |
| 1376518282 | Lori Ann Ripley | Family Medicine | 2520 W 16th St, Greeley, CO 80634-4941 | 2006-02-22 |
| Find all providers in GREELEY | ||||
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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.