DR. HENRY T DAVIS (NPI# 1619911583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619911583 |
Entity Type | Individual |
Full Name | DR. HENRY T DAVIS |
Other Name | DR. HENRY T DAVIS |
Credential | DO |
Practice Address |
2277 E State Route 62 Boonville IN 47601-9612 |
Practice Telephone | 8128976630 |
Mailing Telephone | 8128976630 |
Enumeration Date | 2006-06-15 |
Last Update Date | 2013-01-04 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 02002016 | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | ANTHEM PROVIDER # | 000000200714 | 01 |
IN | 200208320 | 05 | |
IN | 100180890G | 05 | |
IN | INDIVIDUAL RR MEDICARE# | 110232572 | 01 |
IN | GROUP RAILROAD MCR# | CH6490 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649586074 | Henry Hays Davis | Anesthesiologist Assistant | 1721 Victorian Ct, Alpharetta, GA 30005-6440 | 2010-08-23 |
1427189943 | Henry Gordon Davis Jr. | Family Medicine | 108 E Liberty Ave, Sylvester, GA 31791-2162 | 2007-03-08 |
1205862018 | Henry W Davis | Dentist | 596b E Jackson Blvd, Erwin, NC 28339-9629 | 2006-06-23 |
1346216421 | Henry Horton Davis IIi | Family Medicine | 27961 Highway 98, Suite 14, Daphne, AL 36526-4725 | 2006-02-27 |
1346708856 | Henry Gene Davis Jr. | Peer Specialist | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2019-03-05 |
1881167849 | Henry Davis | Behavior Technician | 125 Wellness Way, Hot Springs, AR 71913-6478 | 2019-01-02 |
1982194320 | Henry Edward Davis Jr. | Nurse Practitioner | 4215 N Classen Blvd, Oklahoma City, OK 73118-2431 | 2018-05-11 |
1831585546 | Henry Wesley Davis | Student in an Organized Health Care Education/Training Program | 3959 Broadway, New York, NY 10032-1559 | 2015-04-09 |
1891717161 | Henry J Davis | Obstetrics & Gynecology | 770 Pine Street, Suite 580, Macon, GA 31201-7532 | 2006-07-24 |
1598784233 | Henry Davis | Family Medicine | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2006-07-19 |
Street Address |
2277 E STATE ROUTE 62 |
City | BOONVILLE |
State | IN |
Zip Code | 47601-9612 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235617622 | Dante J Grasso | Dentist | 602 W. Locust St., Boonville, IN 47601 | 2018-07-30 |
1053785774 | Michael P Royalty Md LLC | Pain Medicine | 4888 Lost Lake Ct, Boonville, IN 47601 | 2015-11-18 |
1982097911 | Doctor James E. Eash, D.d.s., P.C. | Exclusive Provider Organization | 911 Aigner Drive, Boonville, IN 47601 | 2015-03-16 |
1073734315 | Warrick County School Corp. | Local Education Agency (LEA) | 300 East Gum Street, Boonville, IN 47601 | 2007-05-02 |
1811042237 | St. Marys Warrick Hospital, Inc. | Psychiatric Unit | 1116 Millis Avenue, Boonville, IN 47601 | 2007-01-24 |
1073687877 | James E Eash | Dentist | 911 Aigner Dr, Boonville, IN 47601 | 2006-11-20 |
1902073554 | Tri-state Behavioral Health LLC | Psychiatry & Neurology | 1116 Millis Ave, St. Mary's Warrick, Boonville, IN 47601 | 2008-05-13 |
1073668273 | St. Mary's Warrick Hospital, Inc. | Medicare Defined Swing Bed Unit | 1116 Millis Avenue, Boonville, IN 47601 | 2007-01-25 |
1790889046 | Jeffrey P Kolb | Dentist | 602 W Locust St, Boonville, IN 47601-0167 | 2006-09-08 |
1376631572 | Kolb & Kolb Dds LLC | Dentist | 602 W Locust St, Boonville, IN 47601-0167 | 2006-10-11 |
Find all providers in zip 47601 |
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 |
---|---|---|---|---|
1881601599 | Leslie Strouse | Internal Medicine | 3355 Liberty Blvd, Boonville, IN 47601-9672 | 2006-08-02 |
1528055662 | Syed A Ali | Internal Medicine | 1301 Millis Ave, Boonville, IN 47601-2329 | 2005-10-04 |
1851393110 | Sumir Bhateja | Internal Medicine | 3277 Liberty Blvd Ste A, Boonville, IN 47601-9659 | 2005-06-01 |
1639502859 | Deaconess Clinic, Inc | Internal Medicine | 3150 Warrick Dr, Boonville, IN 47601-8602 | 2013-08-12 |
1124265749 | Sushma Sapkota Pandey | Internal Medicine | 13407 State Route 12, Boonville Family Care, Boonville, NY 13309 | 2009-01-20 |
1205825924 | Syed A Ali Md Inc | Internal Medicine | 1301 Millis Ave, Boonville, IN 47601-2329 | 2005-10-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821610783 | Michiana Weight Loss and Wellness Clinic LLC | Internal Medicine | 14304 Sr 23, Granger, IN 46530 | 2020-05-14 |
1194354530 | Mycare Express Clinic | Internal Medicine | 3608 W 80th Ln, Merrillville, IN 46410-5061 | 2020-04-07 |
1508493669 | Md Healthcare Direct | Internal Medicine | 5330 Harrison Street, Merrillville, IN 46410-1465 | 2020-03-26 |
1386280923 | Spencer Wellness Centre LLC | Internal Medicine | 7202 E 71st St, Indianapolis, IN 46256-1904 | 2019-11-19 |
1982245593 | Melvin Jay Prince | Internal Medicine | Gennesaret Free Clinic 615 N Alabama St, Suite 136, Indianapolis, IN 46204 | 2019-10-04 |
1699321307 | Medical Consultants of Central Indiana LLC | Internal Medicine | 5252 E 82nd St Ste 300, Indianapolis, IN 46250-5704 | 2019-08-18 |
1235799909 | Emd Healthcare, LLC | Internal Medicine | 6582 W Deerfield Dr, Zionsville, IN 46077-7500 | 2019-06-16 |
1487217121 | Perry County Memorial Hospital | Internal Medicine | 559 Main St Ste 1, Rockport, IN 47635-1451 | 2019-04-18 |
1245797208 | Shaze Medical Group LLC | Internal Medicine | 1035 Wall Street Ste 104-c1, Jeffersonville, IN 47130-3602 | 2019-02-26 |
1881167997 | Jara Lynn Southerland | Internal Medicine | 10122 E 10th St Ste 220, Indianapolis, IN 46229-2664 | 2019-01-10 |
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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.