PATRICK W DAVIS (NPI# 1417914730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417914730 |
| Entity Type | Individual |
| Full Name | PATRICK W DAVIS |
| Credential | P.A.C. |
| Practice Address |
724 Kendall Ln Boulder City NV 89005-1112 |
| Mailing Address |
Po Box 752287 Las Vegas NV 89136-2287 |
| Practice Telephone | 7026047422 |
| Practice Fax Number | 7025493178 |
| Mailing Telephone | 7026047422 |
| Mailing Fax Number | 7025493178 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2019-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA823 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA823 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | RAILROAD MEDICARE | P00206370 | 01 |
| NV | 100502933 | 05 | |
| NV | MEDICARE PTAN | CC535Y | 01 |
| NV | NSBME | PA823 | 01 |
| AZ | 850273 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942778527 | Patrick Thomas Davis | Perfusionist | 307 Burnt Pine Dr, Naples, FL 34119-9775 | 2018-11-13 |
| 1003101684 | Patrick Davis | Surgery | 1222 Trotwood Ave Ste 603, Columbia, TN 38401 | 2011-06-13 |
| 1700118304 | Patrick Andrew Davis | Psychologist | 14465 Country Walk Dr, Miami, FL 33186-8104 | 2010-02-06 |
| 1598917015 | Patrick C Davis | Hearing Instrument Specialist | 9200 W Cross Dr Ste 250, Littleton, CO 80123-0701 | 2008-10-15 |
| 1316067846 | Patrick R.e. Davis | Chiropractor | 3940 N Mlk Blvd Ste 107, North Las Vegas, NV 89032-6607 | 2007-03-29 |
| 1215021902 | Patrick Lee Davis | Dentist | 1701 Mcfarland Blvd #122, Tuscaloosa, AL 35404 | 2006-10-03 |
| 1033778485 | Patrick A Davis | Speech-Language Pathologist | 90 Howard Dr, Shelbyville, KY 40065-8138 | 2019-06-10 |
| 1548720014 | Patrick Davis | Student in an Organized Health Care Education/Training Program | 300 Longwood Ave, Boston, MA 02115-5724 | 2019-03-21 |
| 1942739396 | Patrick Lloyd Davis | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 2319, Oklahoma City, OK 73105-5018 | 2017-06-08 |
| 1023471380 | Patrick Davis | Student in an Organized Health Care Education/Training Program | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2016-04-03 |
| Street Address |
724 KENDALL LN |
| City | BOULDER CITY |
| State | NV |
| Zip Code | 89005-1112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366702797 | Patrick Davis Pa-c Ltd | Physician Assistant | 724 Kendall Ln, Boulder City, NV 89005-1112 | 2012-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763119 | Hitesh R Amin | Pharmacist | Sav-on Pharmacy, 1008 Nevada Way, Boulder City, NV 89005 | 2020-06-08 |
| 1871013086 | Wesley King | Rehabilitation Practitioner | 200 Wilson Circle, Boulder, NV 89005 | 2017-06-20 |
| 1568998714 | Bailey Godfrey | Registered Nurse | 1401 Pueblo Drive, Boulder City, NV 89005 | 2017-05-10 |
| 1972970127 | Elizabeth Anne Jones | Counselor | 202 Rainier Court, Boulder City, NV 89005 | 2015-08-24 |
| 1871913855 | Joy Reynolds | Rehabilitation Practitioner | 100 St. Jude's Street, Boulder City, NV 89005 | 2014-04-17 |
| 1710222815 | Laura Lynn Rivera | Counselor | 200 Wilson Cir, Boulder City, NV 89005 | 2012-11-30 |
| 1467723528 | Sandra Lee Miller | Community Health Worker | 659 Ave. H, Boulder City, NV 89005 | 2012-01-21 |
| 1689959272 | Eliscia Wight | Pharmacist | 101 E. Lake Mead Pkwy, Henderson, NV 89005 | 2011-10-15 |
| 1285876706 | National Park Service | Ambulance | 601 Nevada Hwy, Boulder City, NV 89005 | 2009-03-30 |
| 1861614679 | Rickey L. Smith | Pharmacist | 1008 Nevada Highway, Boulder City, NV 89005 | 2007-05-02 |
| Find all providers in zip 89005 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275163529 | Eric Samuel Benjamin | Physician Assistant | 1297 Boulder City Pkwy Ste A, Boulder City, NV 89005-1854 | 2020-01-24 |
| 1437517984 | Starfield Emergency Physicians, Pllc | Physician Assistant | 901 Adams Blvd, Boulder City, NV 89005-2213 | 2016-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194324574 | Ashley Brooke Allen | Physician Assistant | 1705 Chaise Ct, Carson City, NV 89703-2335 | 2020-10-18 |
| 1497353627 | Justin Kent | Physician Assistant | 4521 Nantucket Clipper Dr, North Las Vegas, NV 89031-3492 | 2020-10-09 |
| 1407474695 | Katherine Lynn Mauldin | Physician Assistant | Redfield Campus Nell J. Redfield Bldg. A Suite 104, 18600 Wedge Parkway, Reno, NV 89511 | 2020-07-14 |
| 1396362422 | Jeffrey Lee Chapman | Physician Assistant | 7405 Bryan Canyon Rd, Washoe Valley, NV 89704-9588 | 2020-07-06 |
| 1497370514 | Jantima Shannon Becker | Physician Assistant | 1060 Crosswater Dr, Reno, NV 89523-7100 | 2020-06-15 |
| 1376165985 | Vanessa E R Pulido Artienda | Physician Assistant | 7829 Strong Water Ct, Las Vegas, NV 89131-8247 | 2020-05-18 |
| 1013537794 | Julia Alexa Ondarza | Physician Assistant | 10120 S Eastern Ave Ste 120, Henderson, NV 89052-3952 | 2020-04-22 |
| 1073148508 | Megan Marie Brandon | Physician Assistant | 236 W 6th St Ste 3, Reno, NV 89503-4517 | 2020-03-05 |
| 1427697952 | Fabiola Capano | Physician Assistant | 6930 S Cimarron Rd Ste 260, Las Vegas, NV 89113-2135 | 2020-01-01 |
| 1164060216 | Hugh Andrew David Cooper Rosett | Physician Assistant | 2114 Rhonda Ter, Henderson, NV 89074-0653 | 2019-12-18 |
| Find all providers with the same taxonomy | ||||
| City | BOULDER CITY |
| Zip Code | 89005 |
Please comment or provide details below to improve the information on PATRICK W 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.