DR. CARL ALEXANDER DAVIS (NPI# 1376594044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376594044 |
| Entity Type | Individual |
| Full Name | DR. CARL ALEXANDER DAVIS |
| Credential | M.D. |
| Practice Address |
212 Russell Blvd Nacogdoches TX 75965-1237 |
| Practice Telephone | 9364627800 |
| Practice Fax Number | 9365698530 |
| Mailing Telephone | 9364627800 |
| Mailing Fax Number | 9365698530 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2019-03-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | L8030 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 166129001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467583393 | Carl Spencer Davis | Family Medicine | 801 Ne Anderson Ln, Lees Summit, MO 64064-1244 | 2007-03-09 |
| 1629186770 | Carl Richard Davis | Emergency Medicine | 1102 Ne Parvin Road, #302, Kansas City, MO 64116 | 2006-08-28 |
| 1114951407 | Carl C Davis Jr. | Emergency Medicine | 4009 Tennyson St, Houston, TX 77005-2747 | 2006-07-10 |
| 1477019602 | Carl Nathaniel Davis | Marriage & Family Therapist | 2640 Industry Way, Lynwood, CA 90262-4284 | 2019-02-12 |
| 1760853527 | Carl Davis | Counselor | 4480 Gen Degaulle Dr, Suite 117, New Orleans, LA 70131-6941 | 2015-10-19 |
| 1992188338 | Carl Robert Davis | Nurse Anesthetist, Certified Registered | 2 Good Samaritan Way, Suite 205, Mount Vernon, IL 62864-2408 | 2015-07-02 |
| 1134476765 | Carl Davis | Counselor | 324 E Chestnut St, Coweta, OK 74429-2532 | 2012-08-14 |
| 1427385079 | Carl Gene Davis | Licensed Practical Nurse | 1215 Nw 25th St, Oklahoma City, OK 73106-5629 | 2009-11-03 |
| 1154522993 | Carl Webster Davis Jr. | Pharmacist | 209 4th Ave Ne, Cullman, AL 35055-1904 | 2007-05-30 |
| 1881764009 | Carl Derrick Davis | Counselor | 1605 Eastlake Ave, Los Angeles, CA 90033-1009 | 2006-11-08 |
| Street Address |
212 RUSSELL BLVD |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75965-1237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578595997 | Aaron C Polk Jr. | Family Medicine | 212 Russell Blvd, Nacogdoches, TX 75965 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649839135 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3824 N University Drive, Suite 103, Nacogdoches, TX 75965 | 2019-06-10 |
| 1518520493 | Billy Jobe | Pharmacist | 917 East Austin, Nacogdoches, TX 75965 | 2019-04-17 |
| 1295217610 | Sarah Ponder | Registered Nurse | 625 Woodway Lane, Nacogdoches, TX 75965 | 2018-09-01 |
| 1083107684 | Aakash Deep Gupta | Dentist | 4610 North St Ste 101b, Nacogdoches, TX 75965 | 2018-06-08 |
| 1679097455 | Emily Morris Taravella | Counselor | 3524 Ne Stallings Drive, Nacogdoches, TX 75965 | 2017-08-02 |
| 1457809949 | Kassey Osborn | Nurse Practitioner | 4920 Ne Stallings Dr., Nacogdoches Medical Center, Nacogdoches, TX 75965 | 2016-09-14 |
| 1629426747 | Lisa Greathouse | Technician, Other | 500 Chincapin, Westville, OK 75965 | 2016-05-31 |
| 1457741704 | Nuch of Texas | Pediatrics | 1305 North Street, Nacogdoches, TX 75965 | 2015-01-26 |
| 1730506031 | Benjamin Patrick Thompson | Obstetrics & Gynecology | 4800 Ne Stallings Dr Ste 106, Nacogdoches, TX 75965 | 2014-03-25 |
| 1255761813 | Kallie Krawietz | Counselor | 2214 N Pecan Street, Nacogdoches, TX 75965 | 2013-11-19 |
| Find all providers in zip 75965 | ||||
| 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 |
|---|---|---|---|---|
| 1255680674 | Dennis W Coffman M.d. | Family Medicine | 4800 N E Stallings Drive, Suite 111, Nacogdoches, TX 75965-1250 | 2012-08-30 |
| 1821398819 | Toni I. White M.d. P.a. | Family Medicine | 3226 N University Dr, Suite 300, Nacogdoches, TX 75965-2682 | 2010-10-25 |
| 1871801597 | Wilbrun Edward Furniss II | Family Medicine | 4800 Ne Stallings Dr Ste 109, Nacogdoches, TX 75965-1250 | 2010-09-15 |
| 1851543888 | Carey Jynette Lindemann | Family Medicine | 4800a Ne Stallings Dr., Suite 1500, Nacogdoches, TX 75965-1207 | 2008-10-22 |
| 1841418910 | Toni Irene White | Family Medicine | 4848 Ne Stallings Dr Ste 104, Suite 104, Nacogdoches, TX 75965-1256 | 2007-04-23 |
| 1477563898 | Mark A Cline | Family Medicine | 4604 Ne Stallings Dr, Nacogdoches, TX 75965-1608 | 2006-08-08 |
| 1295760080 | Bryan W Davis | Family Medicine | 129 Creekbend Blvd, Nacogdoches, TX 75965-1781 | 2006-07-11 |
| 1093773707 | East Texas Physicians Care Pa | Family Medicine | 1002 Mound St, Nacogdoches, TX 75961-4437 | 2006-05-02 |
| 1740248467 | Olin Kirk Fearing | Family Medicine | 3618 N. University Dr., Nacogdoches, TX 75965 | 2006-05-02 |
| 1700844867 | Satir and Satir, Pa | Family Medicine | 4942 Ne Stallings Dr, Nacogdoches, TX 75965-1265 | 2006-05-01 |
| Find all providers in NACOGDOCHES | ||||
| City | NACOGDOCHES |
| Zip Code | 75965 |
Please comment or provide details below to improve the information on DR. CARL ALEXANDER 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.