DR. JEREMY LEE DAVIS (NPI# 1437399987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437399987 |
| Entity Type | Individual |
| Full Name | DR. JEREMY LEE DAVIS |
| Credential | M.D. |
| Practice Address |
545 Barnhill Dr Eh 202 Indianapolis IN 46202-5112 |
| Mailing Address |
10 Center Drive, Msc 1201 Room 4-3760 Bethesda MD 20892 |
| Practice Telephone | 3172744966 |
| Mailing Telephone | 3014962127 |
| Mailing Fax Number | 3014516933 |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2015-09-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
268183 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518208206 | Jeremy Keith Davis | Counselor | 8200 Humboldt Ave S Ste 100, Bloomington, MN 55431-1433 | 2013-03-06 |
| 1013291210 | Jeremy Davis | Pharmacist | 9285 Halls Ferry Rd., Jennings, MO 63136 | 2011-10-06 |
| 1538156062 | Jeremy Franklin Davis | Podiatrist | 335 E Waterloo Rd, Akron, OH 44319-1218 | 2005-09-30 |
| 1205464476 | Jeremy Davis | Student in an Organized Health Care Education/Training Program | 1 Childrens Way # 512-19a, Little Rock, AR 72202-3500 | 2020-03-31 |
| 1013549476 | Jeremy Troy Davis | Student in an Organized Health Care Education/Training Program | 1025 Atlantic Ave, Alameda, CA 94501-1189 | 2020-02-04 |
| 1407418957 | Jeremy L. Davis | Nurse Practitioner | 50 Harrison St Ste 212f, Hoboken, NJ 07030-6087 | 2019-07-05 |
| 1548720162 | Jeremy P Davis | Student in an Organized Health Care Education/Training Program | 1900 10th Ave Ste 100, Columbus, GA 31901-3601 | 2019-03-20 |
| 1316426521 | Jeremy Davis | Social Worker | 1744 Payne Ave, Cleveland, OH 44114-2910 | 2018-08-08 |
| 1982055620 | Jeremy Davis | Pharmacist | 164 E Main St, Rexburg, ID 83440-1912 | 2016-06-23 |
| 1760832927 | Jeremy Davis | Internal Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2016-06-20 |
| Street Address |
545 BARNHILL DR EH 202 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-5112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144227455 | Indiana University Medical Center | General Acute Care Hospital | 545 Barnhill Dr, Emerson Hall Room 236, Indianapolis, IN 46202-5112 | 2005-06-30 |
| 1841811924 | Madeline Marie Blackwell | Student in an Organized Health Care Education/Training Program | 545 Barnhill Dr, Indianapolis, IN 46202-5112 | 2020-04-30 |
| 1588284897 | Joel Schroering | Student in an Organized Health Care Education/Training Program | 545 Barnhill Dr, Indianapolis, IN 46202-5112 | 2020-04-17 |
| 1245850494 | Daniel Benson | Student in an Organized Health Care Education/Training Program | 545 Barnhill Dr, Indianapolis, IN 46202-5112 | 2020-04-17 |
| 1669091112 | Jae Hyun Kwon | Student in an Organized Health Care Education/Training Program | 545 Barnhill Dr, Indianapolis, IN 46202-5112 | 2020-04-15 |
| 1265051023 | Hadeal Ayoub | Student in an Organized Health Care Education/Training Program | 545 Barnhill Dr, Indianapolis, IN 46202-5112 | 2020-04-13 |
| 1376162248 | Jasmine Dannielle Lee | Student in an Organized Health Care Education/Training Program | 545 Barnhill Dr, Indianapolis, IN 46202-5112 | 2020-04-10 |
| 1467071506 | Gerald Jiang Wu | Student in an Organized Health Care Education/Training Program | 545 Barnhill Dr, Indianapolis, IN 46202-5112 | 2020-04-09 |
| 1952920050 | Signe Marie Braafladt | Student in an Organized Health Care Education/Training Program | 545 Barnhill Dr, Indianapolis, IN 46202-5112 | 2020-04-09 |
| 1861011033 | Aaron Robert Anderson | Student in an Organized Health Care Education/Training Program | 545 Barnhill Dr, Indianapolis, IN 46202-5112 | 2020-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366544868 | Rhys Thomas Schmidt IIi | Surgery | 8240 Naab Rd Ste 320, Indianapolis, IN 46260-1987 | 2006-09-04 |
| 1861625709 | St. Francis Hospital and Health Centers | Surgery | 5255 E Stop 11 Rd, Suite 250, Indianapolis, IN 46237-6340 | 2009-08-26 |
| 1528232451 | Michael G House | Surgery | 550 N University Blvd., Suite 1295, Indianapolis, IN 46202-5149 | 2008-04-22 |
| 1073703260 | Timothy A Goedde Md PC | Surgery | 7430 N Shadeland Ave, Suite 230, Indianapolis, IN 46250-2036 | 2007-07-25 |
| 1477505071 | Mary A Maluccio | Surgery | 550 University Blvd, Uh4601, Indianapolis, IN 46202-5149 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295005395 | Neal Agee | Surgery | 7910 W Jefferson Blvd Ste 112, Fort Wayne, IN 46804-4159 | 2012-01-05 |
| 1871892208 | Fiona Noelle Denham | Surgery | 200 High Park Ave, Goshen, IN 46526-4810 | 2011-03-24 |
| 1902063282 | Jack W Rostas IIi | Surgery | 1314 E Walnut St, Washington, IN 47501-2860 | 2008-05-22 |
| 1992704449 | Leonard R Henry | Surgery | 200 High Park Ave, Goshen, IN 46526-4810 | 2005-07-18 |
| City | INDIANAPOLIS |
| Zip Code | 46202 |
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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.