MR. MARK A DAVIS (NPI# 1457465916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457465916 |
| Entity Type | Individual |
| Full Name | MR. MARK A DAVIS |
| Credential | MD |
| Practice Address |
2033 Medical Park Drive Newberry SC 29108 |
| Practice Telephone | 8032765188 |
| Practice Fax Number | 8032769317 |
| Mailing Telephone | 8032765188 |
| Mailing Fax Number | 8032769317 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2011-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 10491 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 6190 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780225250 | Mark N Davis | Psychologist | 1479 Oak Ridge Dr, Chico, CA 95928-8856 | 2019-10-04 |
| 1841731924 | Mark Davis | Anesthesiology | 8237 Blackburn Ave Apt 103, Los Angeles, CA 90048-4277 | 2017-03-09 |
| 1336599588 | Mark Randall Davis | Specialist/Technologist | 1437 6th Street Cir Nw, Hickory, NC 28601-5255 | 2016-06-20 |
| 1891104865 | Mark Davis | Home Health Aide | 1916 Millgate Rd, Anderson, SC 29621-2936 | 2014-08-04 |
| 1457786998 | Mark Henderson Davis | Social Worker | 5384 Street Ne, Community Options Fridley, Fridley, MN 55421 | 2013-09-03 |
| 1699114082 | Mark David Davis | Behavioral Analyst | 12420 S Ridgeland Ave, Palos Heights, IL 60463-1858 | 2013-06-18 |
| 1376813808 | Mark Stephen Davis | Specialist | 4453 Mount Paran Pkwy Nw, Atlanta, GA 30327-3721 | 2011-12-30 |
| 1295053254 | Mark Davis | Pharmacist | 4185 Washington Rd, Mc Murray, PA 15317-2522 | 2010-05-13 |
| 1194968826 | Mark Anthony Davis | Driver | 448 E 272nd St, Euclid, OH 44132-1730 | 2009-04-10 |
| 1750542460 | Mark Alan Davis Sr. | Counselor | 147 Bryn Mawr Ave, Lansdowne, PA 19050-1806 | 2008-06-24 |
| Street Address |
2033 MEDICAL PARK DRIVE |
| City | NEWBERRY |
| State | SC |
| Zip Code | 29108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063869253 | Chelsea Anthony Mccoy | Internal Medicine | 2033 Medical Park Drive, Newberry, SC 29108-2249 | 2016-05-18 |
| 1992880330 | Newberry Internal Medicine LLC | Internal Medicine | 2033 Medical Park Drive, Newberry, SC 29108 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104472109 | Palmetto Bone and Joint | Pain Medicine | Palmetto Bone and Joint, 2605 Kinard St Suite 105, Newberry, SC 29108 | 2019-08-15 |
| 1922578582 | Joni Seibert Chapman | Registered Nurse | 3419 Main Street, Newberry, SC 29108 | 2018-11-27 |
| 1235652967 | Stephanie M Fulmer | Nurse Practitioner | 2351 Evans Street, Suite A, Newberry, SC 29108 | 2017-07-25 |
| 1497152177 | Frances Diane Martin | Registered Nurse | 9307 Sc Highway 34, Newberry, SC 29108 | 2014-11-25 |
| 1528463254 | Lauren Flynn | Registered Nurse | 3419 Main St, Newberry, SC 29108 | 2014-10-23 |
| 1689017998 | Charlene Kneece | Registered Nurse | 255 Hawkins Road, Newberry, SC 29108 | 2013-04-17 |
| 1952642423 | Allison Kyzer Gardner | Chiropractor | 3218 College Street, Newberry, SC 29108 | 2013-03-08 |
| 1972853372 | Dipa Mcgee | Pharmacist | 1210 Wilson Road, Newberry, SC 29108 | 2012-09-12 |
| 1730339060 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 2850 Kinard St, Newberry, SC 29108 | 2008-09-23 |
| 1508042201 | Newberry Oncology Associates | Radiology | 298 Commerce Dr., Newberry, SC 29108 | 2008-01-14 |
| Find all providers in zip 29108 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932246873 | Neeta S Pohani | Internal Medicine | 19913 W Newberry Rd Ste A, Newberry, FL 32669-2181 | 2007-01-31 |
| 1568470326 | Alan Johnstone Paysinger | Internal Medicine | 2033 Medical Park Dr, Newberry Internal Medicine, Newberry, SC 29108-2249 | 2006-08-04 |
| 1124078068 | Steven A Vix | Internal Medicine | 504 W Harrie St, Newberry, MI 49868-1200 | 2006-05-11 |
| 1235581356 | Indigo Hospital Medicine - Midwest, Plc | Internal Medicine | 502 W Harrie St, Newberry, MI 49868-1209 | 2016-07-13 |
| 1063869253 | Chelsea Anthony Mccoy | Internal Medicine | 2033 Medical Park Drive, Newberry, SC 29108-2249 | 2016-05-18 |
| 1508909953 | Steve Vix, M.d. | Internal Medicine | 504 W Harrie St, Newberry, MI 49868-1200 | 2007-02-15 |
| 1720148307 | Raghu N Rao | Internal Medicine | 502 W Harrie St, Newberry, MI 49868-1209 | 2006-12-12 |
| 1447318977 | Patricia M Gill | Internal Medicine | 502 W Harrie St, Newberry, MI 49868-1209 | 2006-12-05 |
| 1992880330 | Newberry Internal Medicine LLC | Internal Medicine | 2033 Medical Park Drive, Newberry, SC 29108 | 2006-10-26 |
| 1649283748 | Thomas F Bradberry | Internal Medicine | 2033 Medical Park Dr, Newberry, SC 29108-2249 | 2006-08-14 |
| Find all providers in NEWBERRY | ||||
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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.