BENJAMIN DAVIS (NPI# 1508077611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508077611 |
| Entity Type | Individual |
| Full Name | BENJAMIN DAVIS |
| Credential | MD |
| Practice Address |
2145 Mount Pleasant Blvd Se Roanoke VA 24014-3632 |
| Mailing Address |
2524 Rosalind Ave Sw Apt A Roanoke VA 24014-2326 |
| Practice Telephone | 5404279200 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0116017177 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780233916 | Benjamin Davis | Nurse Practitioner | 2563 N 11th Ave, Hanford, CA 93230-1464 | 2019-09-10 |
| 1922578988 | Benjamin Harold Davis Jr. | Behavior Technician | Swans Consulting, 20 N Dewitt Ave, Clovis, CA 93612 | 2018-12-03 |
| 1952813966 | Benjamin Davis | Clinical Exercise Physiologist | 36824 Sunnydale St, Livonia, MI 48154-1727 | 2017-10-31 |
| 1356789531 | Benjamin Phillip Davis | Behavioral Analyst | 1126 Breezy Ln, Berea, KY 40403-8659 | 2013-06-10 |
| 1043573595 | Benjamin Davis | Family Medicine | 1401 Madison St Ste 400, Seattle, WA 98104-1316 | 2012-06-20 |
| 1407467178 | Benjamin H Davis | Physical Therapist | 55 Shuman Blvd Ste 700, Naperville, IL 60563-8422 | 2020-08-14 |
| 1245790138 | Benjamin Bracey Davis | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Ste 401, Lawrenceville, GA 30046-4303 | 2019-03-25 |
| 1245798479 | Benjamin Davis | Physical Medicine & Rehabilitation | 100 N Academy Ave, Danville, PA 17822-9800 | 2019-03-06 |
| 1912491754 | Benjamin K Davis | Dentist | 2300 N Hills St, Meridian, MS 39305-2633 | 2018-06-15 |
| 1558850933 | Benjamin Nathaniel Davis | Chiropractor | 1602 W Avenue A, Temple, TX 76504 | 2018-05-01 |
| Street Address |
2145 MOUNT PLEASANT BLVD SE |
| City | ROANOKE |
| State | VA |
| Zip Code | 24014-3632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508855727 | Michael Patrick Jeremiah | Family Medicine | 2145 Mount Pleasant Blvd Se, Roanoke, VA 24014-3632 | 2005-10-20 |
| 1225561905 | Joseph Harrison Kidd | Family Medicine | 2145 Mount Pleasant Blvd Se, Roanoke, VA 24014-3632 | 2017-04-09 |
| 1558714931 | Braden Asher Gregory | Family Medicine | 2145 Mount Pleasant Blvd Se, Roanoke, VA 24014 | 2016-07-20 |
| 1497046221 | Jonathan Lambert | Pharmacist | 2145 Mount Pleasant Blvd Se, Roanoke, VA 24014-3632 | 2011-04-27 |
| 1952639320 | Vera Kamenskaia | Family Medicine | 2145 Mount Pleasant Blvd Se, Roanoke, VA 24014-3632 | 2009-11-24 |
| 1952530651 | Paul M Olsen | Family Medicine | 2145 Mount Pleasant Blvd Se, Roanoke, VA 24014-3632 | 2009-07-02 |
| 1144458720 | Laura B Cieraszynski | Family Medicine | 2145 Mount Pleasant Blvd Se, Roanoke, VA 24014-3632 | 2009-06-23 |
| 1275761850 | Christian Klaus | Family Medicine | 2145 Mount Pleasant Blvd Se, Roanoke, VA 24014-3632 | 2009-06-23 |
| 1992960272 | Jeremy Acebedo Llavore | Family Medicine | 2145 Mount Pleasant Blvd Se, Roanoke, VA 24014-3632 | 2008-07-25 |
| 1992967251 | Richard Ryan Truxillo | Family Medicine | 2145 Mount Pleasant Blvd Se, Roanoke, VA 24014-3632 | 2008-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
| 1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
| 1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
| 1235629239 | Sanjeeb Sudarshan Bhandari | Student in an Organized Health Care Education/Training Program | 1906 Bellview Ave Se, Roanoke, VA 24014 | 2018-05-15 |
| 1104325778 | Vera J. Short | Registered Nurse | 3167 Huffman Ln, Roanoke, VA 24014 | 2018-02-08 |
| 1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
| 1306362884 | Sara Alicia Guasch | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2017-08-16 |
| 1790212256 | Pouya Mafi | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 | 2017-05-16 |
| 1790222867 | Mara Cate | Physician Assistant | 523 Arbuttus Ave, Roanoke, VA 24014 | 2017-01-26 |
| 1508314634 | Dknl Enterprises, Inc. | Non-emergency Medical Transport (VAN) | 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 | 2016-09-19 |
| Find all providers in zip 24014 | ||||
| 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 |
|---|---|---|---|---|
| 1083247555 | Lisa R Zettler | Family Medicine | 1016 Primrose Ave Se, Roanoke, VA 24014-2508 | 2020-02-12 |
| 1316581366 | Dustin Powers | Family Medicine | 3347 Pamlico Dr, Roanoke, VA 24018-4938 | 2019-11-03 |
| 1932692365 | Sarah Rebecca Childress | Family Medicine | 102 Highland Ave Se Ste 303, Roanoke, VA 24013-2253 | 2018-06-11 |
| 1013327188 | The Center for Ultra Health LLC | Family Medicine | 4235 Colonial Ave, First Floor, Roanoke, VA 24018-4002 | 2014-04-29 |
| 1679904338 | Mazen Madhoun Md LLC | Family Medicine | 6002 Winnbrook Ln, Roanoke, VA 24018-7907 | 2013-12-06 |
| 1245563519 | Valley Gericare Inc | Family Medicine | 1205 Moorman Ave Nw, Roanoke, VA 24017-5739 | 2009-09-17 |
| 1003149915 | Valley Gericare Inc | Family Medicine | 2917 Penn Forest Blvd, Ste 518, Roanoke, VA 24018-4374 | 2009-09-09 |
| 1679774582 | Beau James Ellenbecker | Family Medicine | 610 E Byron Nelson Blvd, Suite 101, Roanoke, TX 76262-6541 | 2007-05-29 |
| 1962535278 | Jeffrey Brad Griffin | Family Medicine | 509 E Byron Nelson Blvd, Suite B, Roanoke, TX 76262-6183 | 2007-03-14 |
| 1043349384 | Janet Lee Spitzer | Family Medicine | 1901 Denniston Ave Sw, Roanoke, VA 24015-2023 | 2007-03-04 |
| Find all providers in ROANOKE | ||||
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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.