SAGE DAVIS (NPI# 1518361336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518361336 |
| Entity Type | Individual |
| Full Name | SAGE DAVIS |
| Other Name | SAGE OWENS |
| Credential | NP-C |
| Practice Address |
27776 Woodward Ave Royal Oak MI 48067-0930 |
| Mailing Address |
559 W Grand Blvd Detroit MI 48216-2200 |
| Practice Telephone | 2485564900 |
| Practice Fax Number | 2485564950 |
| Mailing Telephone | 3135540485 |
| Mailing Fax Number | 3132280283 |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2016-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704292364 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821387317 | Sage Kendra Davis | Acupuncturist | 535 E Sunset Way, Issaquah, WA 98027-3473 | 2011-04-05 |
| Street Address |
27776 WOODWARD AVE |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48067-0930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891919502 | Linda Myers Dillon | Internal Medicine | 27776 Woodward Ave, Royal Oak, MI 48067-0930 | 2007-04-12 |
| 1821479601 | Michelle Mcclory | Social Worker | 27776 Woodward Ave, Royal Oak, MI 48067-0930 | 2015-06-17 |
| 1073834818 | Covenant Community Care, Inc. | Clinic/Center | 27776 Woodward Ave, Royal Oak, MI 48067-0930 | 2010-06-16 |
| 1770776130 | Maria C Massos | Social Worker | 27776 Woodward Ave, Royal Oak, MI 48067-0930 | 2007-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609072 | George Edward Khamis | Psychologist | 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 | 2020-11-05 |
| 1205443751 | Crossover Health Medical Group | Clinic/Center | 424 E. 4th St, Suite 100, Royal Oak, MI 48067 | 2020-09-29 |
| 1750917811 | Sonia B Shah-gonzalez | Case Management | 830 E Fourth St, #1, Royal Oak, MI 48067 | 2020-03-19 |
| 1568022960 | Woodo Pharmacy LLC | Pharmacy | 909 E 11 Mile Rd, Royal Oak, MI 48067 | 2019-06-18 |
| 1093217564 | Sharon Diane Malinowski | Occupational Therapist | 4949 Coolidge Hwy Section E, Adult Neuro Ot, Royal Oak, MI 48067 | 2018-03-01 |
| 1962916569 | Nuch of Michigan Inc | Clinic/Center | 2140 E 12 Mile Rd, Royal Oak, MI 48067 | 2017-11-20 |
| 1629420179 | Christine Paige | Homeopath | 1112 Catalpa, Royal Oak, MI 48067 | 2016-07-08 |
| 1104277045 | Rppc Labs, LLC | Clinical Medical Laboratory | 26154 Woodward Ave Ste 5, Royal Oak, MI 48067 | 2016-06-22 |
| 1346606423 | Thomas Michalos | Counselor | 402 S. Lafayette, Royal Oak, MI 48067 | 2016-01-05 |
| 1508234212 | Valetta Aldridge | Registered Nurse | 28000 Woodward, Royal Oak, MI 48067 | 2015-09-11 |
| Find all providers in zip 48067 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174131536 | Kelsey Corinne Mcdonald | Nurse Practitioner | 2513 N Wilson Ave, Royal Oak, MI 48073-4275 | 2020-07-21 |
| 1740807882 | Kayla Myers | Nurse Practitioner | 4315 Cooper Ave, Royal Oak, MI 48073-1509 | 2020-07-05 |
| 1366002834 | Ashley Marie Taormina | Nurse Practitioner | 4909 Crooks Rd Apt C7, Royal Oak, MI 48073-1245 | 2019-06-17 |
| 1699232926 | Kathryn Marie Psilis | Nurse Practitioner | 425 E La Salle Ave, Royal Oak, MI 48073-3544 | 2019-02-22 |
| 1093295420 | Tarrah Kaplan | Nurse Practitioner | 3577 W 13 Mile Rd # 204, Royal Oak, MI 48073-6710 | 2018-08-15 |
| 1033636493 | Joey Guz | Nurse Practitioner | 602 Kayser Ave, Royal Oak, MI 48067-2829 | 2017-08-27 |
| 1851812994 | Sarah Benson Lim | Nurse Practitioner | 2712 N Vermont Ave, Royal Oak, MI 48073-4266 | 2017-06-28 |
| 1952857195 | Dayna Cline | Nurse Practitioner | 606 N Center St, Royal Oak, MI 48067-1712 | 2016-08-28 |
| 1528338142 | Nichole Elizabeth Andres | Nurse Practitioner | 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2012-01-12 |
| 1477889418 | Rebecca Ann Nelson | Nurse Practitioner | 3601 W. Thirteen Mile Road, Ext 84116 Rebecca Nelson, Royal Oak, MI 48073 | 2009-10-27 |
| Find all providers in ROYAL OAK | ||||
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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.