ELLEN JEAN DAVIS (NPI# 1376734368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376734368 |
| Entity Type | Individual |
| Full Name | ELLEN JEAN DAVIS |
| Credential | MD |
| Practice Address |
2715 Sw Willetta Suite B Albany OR 97321 |
| Practice Telephone | 5419262873 |
| Practice Fax Number | 5419262873 |
| Mailing Telephone | 5419262873 |
| Mailing Fax Number | 5419262873 |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2011-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | LL16985 | OR | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | 154086 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831645977 | Ellen Davis | Massage Therapist | 3302 Fuhrman Ave E, Ste 110, Seattle, WA 98102-7115 | 2016-08-29 |
| 1043607021 | Ellen Davis | Specialist/Technologist | 11319 Kings Valley Dr, Damascus, MD 20872-2259 | 2015-04-17 |
| 1053465179 | Ellen C Davis | Occupational Therapist | 205 South St E, Talladega, AL 35160-2411 | 2007-01-23 |
| 1366439093 | Ellen Satterwhite Davis | Pediatrics | 705 Summit Crossing Pl, Suite 150, Gastonia, NC 28054-2137 | 2005-09-27 |
| 1194384362 | Ellen Davis | Physician Assistant | 130 Pablo St, Lakeland, FL 33803-3818 | 2019-06-11 |
| 1861987372 | Ellen L Davis | Counselor | 195 N Grant Ave Ste 250, Columbus, OH 43215-2855 | 2018-06-27 |
| 1346749686 | Ellen Davis | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2018-02-01 |
| 1235526005 | Ellen Geheber Davis | Acupuncturist | 11965 Venice Blvd, Suite 407, Los Angeles, CA 90066-3979 | 2015-04-20 |
| 1598162828 | Ellen S Davis | Community Health Worker | 325 Sw Frazier Ave, Topeka, KS 66606-1963 | 2014-12-02 |
| 1487063970 | Ellen Latoya Davis | Counselor | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2014-08-08 |
| Street Address |
2715 SW WILLETTA SUITE B |
| City | ALBANY |
| State | OR |
| Zip Code | 97321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730659228 | Waverly Assisted Living, LLC | In Home Supportive Care | 2853 Salem Ave Se Ste A, Albany, OR 97321 | 2018-11-28 |
| 1558838706 | Greater Albany Public Schools 8j | Local Education Agency (LEA) | 718 Seventh Ave. Sw, Albany, OR 97321 | 2018-10-25 |
| 1396232237 | Chiho Sakamoto Gunton | Social Worker | 227 Sw 3rd Avenue, Albany, OR 97321 | 2018-04-17 |
| 1700333184 | Albany General Hospital | Clinic/Center | 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 | 2016-09-02 |
| 1811373772 | Katrin M Ridge | Pharmacist | 1010 7th Ave. Sw., Albany, OR 97321 | 2015-08-03 |
| 1720485527 | Heartsong Counseling | Counselor | 425 Sw 2nd Ave. #203, Albany, OR 97321 | 2014-11-24 |
| 1619386604 | Courtney Ann Miller | Dentist | 2815 Willetta St, Suite A-1, Albany, OR 97321 | 2014-08-05 |
| 1346664810 | Jeffrey Othniel Nordtvedt | Case Manager/Care Coordinator | 2730 Sw Pacific Boulevard, Albany, OR 97321 | 2014-02-05 |
| 1174872022 | Albany General Hospital | Internal Medicine | 631 Southwest Elm Street, Suite 200, Albany, OR 97321 | 2012-09-06 |
| 1144594532 | Russell Travis | Pharmacist | 1177 Waverly Dr, Albany, OR 97321 | 2012-03-02 |
| Find all providers in zip 97321 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043579196 | Victoria Epstein | Ophthalmology | 63 Shaker Rd Ste 101, Albany, NY 12204 | 2012-05-10 |
| 1609936400 | Christopher Forrest Gabriels | Ophthalmology | 960 Western Ave, Albany, NY 12203-2512 | 2006-12-11 |
| 1093802597 | Northeast Vitreo Retinal Assoc PC | Ophthalmology | 349 Northern Blvd, Albany, NY 12204 | 2006-10-06 |
| 1558463802 | Firmin (f) Forrest Gabriels | Ophthalmology | 960 Western Avenue, Albany, NY 12203 | 2006-09-05 |
| 1932136827 | Michael Donald Radosevich | Ophthalmology | 1365 Washington Ave., Suite 101, Albany, NY 12206-1099 | 2006-06-27 |
| 1760429831 | Bruce W Madsen | Ophthalmology | 2715 Willetta St Sw, Suite B, Albany, OR 97321-3471 | 2006-05-31 |
| 1316995269 | Edward Joseph Martin | Ophthalmology | 246 New Scotland Ave, Albany, NY 12208-3101 | 2006-05-04 |
| 1912981002 | Bailey, Wakil & Auringer Eye Physicians & Surgeons,pllc | Ophthalmology | 222 Great Oaks Blvd, Albany, NY 12203-5962 | 2005-12-01 |
| 1972585628 | Ramsey R Elhosn | Ophthalmology | 2 Executive Park Drive, 2nd Floor, Ophthalmology Health Center, Albany, NY 12203 | 2005-11-17 |
| 1780675124 | Asher Weiner | Ophthalmology | 3 Atrium Dr, Suite 100, Albany, NY 12205-1417 | 2005-11-03 |
| Find all providers in ALBANY | ||||
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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.