DR. RUSSELL C DAVIS (NPI# 1376644799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376644799 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL C DAVIS |
| Credential | M.D. |
| Practice Address |
2 Bon Air Rd Ste 150 Larkspur CA 94939-1142 |
| Practice Telephone | 4159273336 |
| Practice Fax Number | 4159273170 |
| Mailing Telephone | 4159273336 |
| Mailing Fax Number | 4159273170 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | E2804 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000E28040 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154745206 | Russell Davis | Pharmacist | Km 130.1 Cuatro C, Paseo Del Faro Pr, Arroyo, PR 00714 | 2014-02-10 |
| 1336344316 | Russell Allen Davis | Acupuncturist | 6135 Acorn St, San Diego, CA 92115-4006 | 2007-06-19 |
| 1285766410 | Russell Leroy Davis | Dentist | 950 I St, Arcata, CA 95521-6158 | 2007-03-12 |
| 1962562793 | Russell Eric Davis | Specialist | Physical Therapy Madigan Army Medical Ctr, Building 9040, Fitzsimmons Drive, Tacoma, WA 98431-0001 | 2006-12-11 |
| 1801908496 | Russell Minor Davis | Dentist | 2204 Sunrise Blvd, Fort Pierce, FL 34950-5367 | 2006-08-31 |
| 1982607966 | Russell Kelso Davis | Chiropractor | 318 E. Main St., Havelock, NC 28532-2214 | 2005-05-24 |
| 1558976217 | Russell Davis | Case Manager/Care Coordinator | 10 West St, Concord, NH 03301-3548 | 2020-09-10 |
| 1619504214 | Russell Davis | Student in an Organized Health Care Education/Training Program | 717 S Houston Ave Ste 400, Tulsa, OK 74127-9007 | 2020-03-24 |
| 1821593203 | Russell Davis | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr, Mobile, AL 36617-2300 | 2018-03-27 |
| 1982148581 | Russell Davis | Nurse Practitioner | 1887 Aaron Dr Ste B, Tooele, UT 84074-8138 | 2016-12-15 |
| Street Address |
2 BON AIR RD STE 150 |
| City | LARKSPUR |
| State | CA |
| Zip Code | 94939-1142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730592437 | Justine Shum | Internal Medicine | 2 Bon Air Rd Ste 150, Larkspur, CA 94939 | 2014-06-10 |
| 1457423105 | Michael C Chase | Internal Medicine | 2 Bon Air Rd Ste 150, Larkspur, CA 94939-1142 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760771901 | Benjamin Stahl | Surgery | Prima Medical Group, 5 Bon Air Road, #101, Larkspur, CA 94939 | 2011-03-28 |
| 1215100383 | Richard William Brenner | Psychiatry & Neurology | 980 Magnolia Ave, Ste 8, Larkspur, CA 94939 | 2008-04-09 |
| 1053584680 | Todd A Maderis | Acupuncturist | 1100 Larkspur Landing Cir #255, Larkspur, CA 94939 | 2008-04-03 |
| 1073709416 | Arundathi Shenoy Malladi | Internal Medicine | 2 Bon Air Rd., #150, Larkspur, CA 94939 | 2007-09-19 |
| 1386855567 | Katherine Louise Chick | Internal Medicine | 980 Magnolia Avenue, Suite 6a, Larkspur, CA 94939 | 2007-05-27 |
| 1639215148 | David W Rose | Chiropractor | 641 Magnolia Ave, #1, Larkspur, CA 94939 | 2007-01-30 |
| 1205988623 | Jay R Salzman | Dentist | 2200 Larkspur Landing Circle, Larkspur, CA 94939 | 2007-01-17 |
| 1497782585 | Katherine Manning | Physical Therapist | 2801larkspur Landing Circle, Larkspur, CA 94939 | 2006-06-26 |
| 1720067226 | Jan Ellen Maisel | Pediatrics | 5 Bon Air Road, Ste. 105, Larkspur, CA 94939 | 2006-01-12 |
| 1740267715 | Jacqueline Susanna Chan | Family Medicine | 1100 Larkspur Landing Circle #255, Larkspur, CA 94939 | 2005-12-29 |
| Find all providers in zip 94939 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884610 | South Bay Foot & Ankle Specialists, Inc. | Podiatrist | 5565 Grossmont Center Dr Ste 510, La Mesa, CA 91942-3024 | 2020-09-07 |
| 1811512866 | Ankle & Foot Care Center Inc | Podiatrist | 15141 Whittier Blvd Ste 330, Whittier, CA 90603-2168 | 2020-06-15 |
| 1912528928 | Clement Podiatry PC | Podiatrist | 505 Sansome St Ste 850, San Francisco, CA 94111-3114 | 2020-04-30 |
| 1942834775 | Felix Sigal Dpm A Professional Corporation | Podiatrist | 201 S Alvarado St Ste 819, Los Angeles, CA 90057-2391 | 2020-03-02 |
| 1033758339 | Yosemite Bone and Joint Inc | Podiatrist | 1199 Delbon Ave Ste 1, Turlock, CA 95382-2006 | 2020-01-03 |
| 1194361634 | K David Flora Dpm Inc | Podiatrist | 1086 N Cherry St, Tulare, CA 93274-2251 | 2019-11-19 |
| 1902457963 | Silverlake Virgil Surgery Center | Podiatrist | 3367 W 1st St Ste 204, Los Angeles, CA 90004-6080 | 2019-09-21 |
| 1134778178 | Mohamad Belal Sharif | Podiatrist | Va Loma Linda 11201 Benton St, Loma Linda, CA 92357-0001 | 2019-09-11 |
| 1972159366 | Bay Area Surgical Specialists Inc A Medical Corporation | Podiatrist | 6061 N 1st St Ste 103, Fresno, CA 93710-5470 | 2019-08-13 |
| 1790331189 | Bay Area Surgical Specialists Inc A Medical Corporation | Podiatrist | 774 N Prospect St Ste B, Porterville, CA 93257-1941 | 2019-08-13 |
| Find all providers with the same taxonomy | ||||
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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.