DR. DUSTIN D DAVIS (NPI# 1417044157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417044157 |
| Entity Type | Individual |
| Full Name | DR. DUSTIN D DAVIS |
| Credential | D.O. |
| Practice Address |
201 W Market St Georgetown DE 19947-1440 |
| Practice Telephone | 3028562254 |
| Practice Fax Number | 3028562330 |
| Mailing Telephone | 3028562254 |
| Mailing Fax Number | 3028562330 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | C2-0006044 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | ST LICENSE | C2-0006044 | 01 |
| DE | 0001044304 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114572831 | Dustin James Davis | Counselor | 4660 Ne Belknap Ct Ste 101h, Hillsboro, OR 97124-8403 | 2019-08-08 |
| 1588145031 | Dustin Davis | Dentist | Usa Dental Health Activity 652 Hamilton Rd., Fort Sill, OK 73503 | 2018-08-23 |
| 1598286379 | Dustin Davis | Podiatrist | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2017-06-30 |
| 1992155626 | Dustin Wayne Davis | Surgery | 1 Choctaw Way, Talihina, OK 74571-2022 | 2016-06-14 |
| 1518399096 | Dustin Davis | Internal Medicine | 1061 Harmon Ave, Fort Stewart, GA 31314-5674 | 2013-08-06 |
| 1649611229 | Dustin Davis | Case Manager/Care Coordinator | 3230 Wisconsin Ave, Joplin, MO 64804-4029 | 2013-07-11 |
| 1063787497 | Dustin Michael Davis | Dentist | 22 95th Dr Ne, Lake Stevens, WA 98258-7975 | 2012-03-19 |
| Street Address |
201 W MARKET ST |
| City | GEORGETOWN |
| State | DE |
| Zip Code | 19947-1440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023105822 | Eileen Mary Davis | Family Medicine | 201 W Market St, Georgetown, DE 19947 | 2006-10-05 |
| 1225173149 | Georgetown Family Medicine | Family Medicine | 201 W Market St, Georgetown, DE 19947-1440 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417454794 | Adrienne Evans | Counselor | 20505 Dupont Blvd., Georgetown, DE 19947 | 2018-04-12 |
| 1912416637 | Michael Christopher Davis | Registered Nurse | 18945 East Redden Road, Georgetown, DE 19947 | 2017-09-26 |
| 1558891143 | Anthony Powell | Registered Nurse | 18357 Dupont Blvd, Georgetown, DE 19947 | 2017-06-15 |
| 1295262905 | Christa Rodriguez | Registered Nurse | 22975 Lewes Georgetown Hwy, Georgetown, DE 19947 | 2017-05-12 |
| 1851847610 | Leticia Howell | Social Worker | 411 South Bedford Street, Georgetown, DE 19947 | 2016-08-31 |
| 1649628637 | Penelope Pitts | Counselor | 20707 N Dupont Boulevard, Georgetown, DE 19947 | 2016-05-31 |
| 1972996361 | Rocky Mountain Holdings, LLC | Ambulance | 21479 Rudder Ln, Georgetown, DE 19947 | 2015-03-10 |
| 1639413867 | Sheri Lynn Mcafee-garner | Nurse Practitioner | 23203 Dupont Blvd, Georgetown, DE 19947 | 2012-11-09 |
| 1417205071 | Amber Nichole West | Occupational Therapy Assistant | 110 West North Street, Georgetown, DE 19947 | 2012-08-29 |
| 1104130657 | Brain Works Incorporated | Counselor | 20155 Office Circle, Suite 2 Georgetown Professional Park, Georgetown, DE 19947 | 2010-07-27 |
| Find all providers in zip 19947 | ||||
| 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 |
|---|---|---|---|---|
| 1154966885 | Carehere LLC | Family Medicine | 1745 N Fraser St, Georgetown, SC 29440-6407 | 2019-11-18 |
| 1528628773 | Donohoo Primary Care LLC | Family Medicine | 5160 State Route 125, Georgetown, OH 45121-9518 | 2019-06-19 |
| 1356864938 | The Healthy Hedgehog Wellness Coach, LLC | Family Medicine | 137 S Hamilton St, Georgetown, KY 40324-1671 | 2017-07-25 |
| 1982066528 | Imren Ozturk | Family Medicine | Arc Georgetown, 940 W University Ave Suite 101, Georgetown, TX 78628 | 2016-03-23 |
| 1548517600 | Concentra Primary Care Pa | Family Medicine | 1502 Oxford Drive, Georgetown, KY 40324-8094 | 2012-08-08 |
| 1073876306 | Kathryn Drake Hart | Family Medicine | 603 W University Ave, Georgetown, TX 78626-6684 | 2012-06-21 |
| 1649582032 | Matilda Serwaa Malm | Family Medicine | 422 N Fraser St, Georgetown, SC 29440-3260 | 2010-07-14 |
| 1487881264 | Cody D Mead | Family Medicine | 6517 N Lakewood Dr, Georgetown, TX 78633-9530 | 2009-06-18 |
| 1134377849 | Katherine Marie Vega | Family Medicine | 4749 Williams Dr Ste 304, Georgetown, TX 78633-3700 | 2008-09-05 |
| 1790957090 | Physician Longevity Institute, Inc | Family Medicine | 1221 Leander Rd, Georgetown, TX 78628-8707 | 2008-03-26 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 19947 |
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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.