RYAN R. DAVIS (NPI# 1427374123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427374123 |
| Entity Type | Individual |
| Full Name | RYAN R. DAVIS |
| Credential | D.O. |
| Practice Address |
101 Willmar Ave Sw Willmar MN 56201 |
| Practice Telephone | 3202315000 |
| Practice Fax Number | 3202315067 |
| Mailing Telephone | 3202315000 |
| Mailing Fax Number | 3202315067 |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2013-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 56291 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902419237 | Ryan Davis | Physical Therapist | 1701 S Waverly Rd Ste 101, Lansing, MI 48917-4300 | 2020-08-26 |
| 1801200498 | Ryan Davis | Case Manager/Care Coordinator | 2875 James Blvd, Poplar Bluff, MO 63901-3395 | 2014-06-11 |
| 1225399553 | Ryan Davis | Specialist/Technologist | 1709 Campus Dr, Vestal, NY 13850-4040 | 2012-06-04 |
| 1710120621 | Ryan Matthew Davis | Dentist | 2d Denbn/ndc 2dmlg, Pcs Box 20130, Camp Lejeune, NC 28542-0130 | 2009-04-08 |
| 1841437647 | Ryan T Davis | Specialist/Technologist | 103 E Lincoln St, Unit G, Normal, IL 61761-1442 | 2009-01-15 |
| 1396916649 | Ryan James Davis | Dentist | 1717 W Candletree Dr Ste A, Peoria, IL 61614-1592 | 2008-03-14 |
| 1871613364 | Ryan Kory Davis | Psychiatry & Neurology | 6 Oleary Way, 83, Boston, MA 02130-3759 | 2007-03-30 |
| 1801982988 | Ryan Davis | Dentist | 700 Belford Ave, Ste 101, Grand Junction, CO 81501 | 2006-10-05 |
| 1851408033 | Ryan James Davis | Chiropractor | 204 Nw 5th St, Grand Rapids, MN 55744-2607 | 2006-08-24 |
| 1780284570 | Ryan Davis | Dentist | 2330 S Lamar Blvd Ste 300, Austin, TX 78704-5265 | 2020-10-29 |
| Street Address |
101 WILLMAR AVE SW |
| City | WILLMAR |
| State | MN |
| Zip Code | 56201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922004514 | Gregory M Macik | Optometrist | 101 Willmar Ave Sw, Affiliated Community Medical Centers, Willmar, MN 56201 | 2005-06-28 |
| 1356956601 | Crystal Lynn Fleischhacker | Nurse Practitioner | 101 Willmar Ave Sw, Willmar, MN 56201-3556 | 2020-09-14 |
| 1730798760 | Katherine Anderson | Pharmacist | 101 Willmar Ave Sw, Willmar, MN 56201-3556 | 2020-07-27 |
| 1861015786 | Madalyn Marie Vohnoutka | Physician Assistant | 101 Willmar Ave Sw, Willmar, MN 56201-3556 | 2020-05-27 |
| 1811526403 | Meagan A Hoflock | Nurse Practitioner | 101 Willmar Ave Sw, Willmar, MN 56201-3556 | 2020-04-06 |
| 1124657150 | Carris Health LLC | Clinic/Center | 101 Willmar Ave Sw, Willmar, MN 56201-3556 | 2020-04-02 |
| 1689209900 | Sophie Sharon Reecher | Physician Assistant | 101 Willmar Ave Sw, Willmar, MN 56201-3556 | 2020-03-06 |
| 1285267922 | Kavitha Malango | Nurse Practitioner | 101 Willmar Ave Sw, Willmar, MN 56201-3556 | 2020-02-21 |
| 1972147858 | Jamie Kalean Erickson | Pharmacist | 101 Willmar Ave Sw, Willmar, MN 56201-3556 | 2019-11-04 |
| 1124660865 | Carris Health LLC | Durable Medical Equipment & Medical Supplies | 101 Willmar Ave Sw, Willmar, MN 56201-3556 | 2019-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730793472 | Sarah Erickson | Counselor | 2120 60th Ave N.w., Willmar, MN 56201 | 2020-09-01 |
| 1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
| 1154856524 | Mude Transportation Inc | Non-emergency Medical Transport (VAN) | 1712 Monongalia Ave Sw Ap1, Willmar, MN 56201 | 2017-04-24 |
| 1285025874 | Jill Fellows | Occupational Therapist | 611 5th St. Sw, Willmar, MN 56201 | 2015-02-18 |
| 1700294881 | Brenda Wiese | Counselor | 1617 Hwy 12 E, Suite 230, Willmar, MN 56201 | 2014-08-01 |
| 1275955932 | Courtney Regnier | Marriage & Family Therapist | 2320 E Hwy 12 Ste 2, Willmar, MN 56201 | 2014-01-15 |
| 1568732402 | Pamela Jean Kubesh | Social Worker | 328 Sw 3rd Street, Willmar, MN 56201 | 2012-01-10 |
| 1699931824 | Community Behavioral Health Hospital-willmar | Psychiatric Hospital | 1208 Olena Ave Se, Willmar, MN 56201 | 2008-08-07 |
| 1700053345 | Nathan Schrick | Marriage & Family Therapist | 513 Sw 5th Street, Box 1810, Willmar, MN 56201 | 2008-05-13 |
| 1831381680 | Joan M Blonigan Christianson | Chiropractor | 1101 S 1st Street, Willmar, MN 56201 | 2007-08-15 |
| Find all providers in zip 56201 | ||||
| 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 |
|---|---|---|---|---|
| 1053390377 | Maria Jones Loerzel | Family Medicine | 502 2nd St Sw, Suite 1, Willmar, MN 56201-3365 | 2006-01-13 |
| 1336131747 | Timothy S Mulder | Family Medicine | 502 2nd St Sw Ste 1, Willmar, MN 56201-3365 | 2005-08-22 |
| 1164422176 | William E. Hicks | Family Medicine | 101 Willmar Avenue Sw, Willmar, MN 56201-3591 | 2005-08-01 |
| 1003207416 | Lee M Haggenjos | Family Medicine | 502 2nd St Sw Ste 1, Willmar, MN 56201-3365 | 2015-02-07 |
| 1518246826 | Jayme L. Vanbeek | Family Medicine | 101 Willmar Ave Sw, Willmar, MN 56201-3556 | 2011-08-04 |
| 1992944680 | Kathryn J. Nelson | Family Medicine | 101 Willmar Ave Sw, Willmar, MN 56201-3556 | 2009-02-19 |
| 1790967347 | Noelle Elizabeth Lee | Family Medicine | 101 Willmar Ave Sw, Willmar, MN 56201-3556 | 2007-12-05 |
| 1912187782 | Samuel T. Camp | Family Medicine | 101 Willmar Ave Sw, Willmar, MN 56201-3591 | 2007-11-09 |
| 1083803910 | Robin Javaherian | Family Medicine | 101 Willmar Ave Sw, Willmar, MN 56201-3556 | 2007-10-16 |
| 1356532535 | John P Skretvedt | Family Medicine | 101 Willmar Avenue Sw, Affiliated Community Medical Centers, Willmar, MN 56201 | 2007-08-05 |
| Find all providers in WILLMAR | ||||
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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.