MICHAEL EDWARD DAVIS (NPI# 1619954153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619954153 |
| Entity Type | Individual |
| Full Name | MICHAEL EDWARD DAVIS |
| Credential | MD |
| Practice Address |
4294 Lomac St Montgomery AL 36106-3604 |
| Mailing Address |
Po Box 235003 Montgomery AL 36123-5003 |
| Practice Telephone | 3342749000 |
| Practice Fax Number | 3342740857 |
| Mailing Telephone | 3342749000 |
| Mailing Fax Number | 3342740857 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2017-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 24900 | AL | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
24900 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | P00002536 | 01 | |
| LOCATION NPI | 1053595165 | 01 | |
| BLUE CROSS | 51516056 | 01 | |
| UNITED HEALTHCARE | 09-10702 | 01 | |
| AL | 009919875 | 05 | |
| NCC/TYNET | 14083 | 01 | |
| BLUE CROSS | 515 13453 | 01 | |
| BLUE CROSS | 51521459 | 01 | |
| AETNA | 7823416 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326676842 | Michael Davis | Student in an Organized Health Care Education/Training Program | 10301 Gateway Blvd W Ste 100, El Paso, TX 79925-7701 | 2020-03-30 |
| 1962064691 | Michael Vernon Davis I | Driver | 502 W Park Plz, Mattoon, IL 61938-3639 | 2019-07-02 |
| 1518451988 | Michael Scott Davis | Dentist | 290 Citrus Tower Blvd Ste 104, Clermont, FL 34711-2783 | 2018-06-19 |
| 1629582002 | Michael Davis | Physical Therapist | 2093 Irene Ln, Idaho Falls, ID 83404-7167 | 2017-11-21 |
| 1912416637 | Michael Christopher Davis | Registered Nurse | 18945 East Redden Road, Georgetown, DE 19947 | 2017-09-26 |
| 1760938534 | Michael Anthony Davis I | Counselor | 1475 E Date St Apt 118, San Bernardino, CA 92404-8227 | 2016-08-31 |
| 1619423894 | Michael Davis | Specialist/Technologist | 129 Greenvale Dr, Lexington, SC 29072-7360 | 2016-08-29 |
| 1376901645 | Michael Davis Jr. | Massage Therapist | 3245 Harness Dr, Florissant, MO 63033-3715 | 2016-02-02 |
| 1306186978 | Michael James Davis | Counselor | 1524 Ne 96th St Ste C, Liberty, MO 64068-1380 | 2013-02-19 |
| 1689928061 | Michael Arthur Davis | Surgery | 2744 Silver Creek Rd, Bullhead City, AZ 86442-7913 | 2012-11-06 |
| Street Address |
4294 LOMAC ST |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36106-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952386740 | Thomas George Wells | Orthopaedic Surgery | 4294 Lomac St, Montgomery, AL 36106-3604 | 2005-12-14 |
| 1518528298 | Jessica Burley Wilson | Nurse Practitioner | 4294 Lomac St, Montgomery, AL 36106-3604 | 2019-06-24 |
| 1952582835 | Hussein W Turki Jr. | Orthopaedic Surgery | 4294 Lomac St, Montgomery, AL 36106-3604 | 2007-11-19 |
| 1033267471 | Alabama Orthopaedic Specialists, P.a. | Orthopaedic Surgery | 4294 Lomac St, Montgomery, AL 36106-3604 | 2007-01-08 |
| 1144207291 | Donald Davis Thornbury Jr. | Orthopaedic Surgery | 4294 Lomac St, Montgomery, AL 36106-3604 | 2005-12-29 |
| 1093792079 | Edward Eaton Palmer Jr. | Orthopaedic Surgery | 4294 Lomac St, Montgomery, AL 36106-3604 | 2005-12-29 |
| 1952388050 | Charles Wayne Hartzog Jr. | Orthopaedic Surgery | 4294 Lomac St, Montgomery, AL 36106-3604 | 2005-12-29 |
| 1376520742 | George Dexter Walcott Jr. | Orthopaedic Surgery | 4294 Lomac St, Montgomery, AL 36106-3604 | 2005-12-28 |
| 1154308690 | Edward Joseph Woods | Physician Assistant | 4294 Lomac St, Montgomery, AL 36106-3604 | 2005-12-27 |
| 1700863248 | Steven Allen Barrington | Orthopaedic Surgery | 4294 Lomac St, Montgomery, AL 36106-3604 | 2005-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
| 1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
| 1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
| 1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
| 1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
| 1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
| 1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
| 1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
| 1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
| 1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
| Find all providers in zip 36106 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689723868 | Timothy A. Holt | Orthopaedic Surgery | 257 Winton M Blount Loop, Montgomery, AL 36117-3507 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639710882 | Petersen Neurospine, Pllc | Orthopaedic Surgery | 6701 Airport Blvd Ste D100, Mobile, AL 36608-6765 | 2019-09-30 |
| 1396244307 | Select Health of Al, LLC | Orthopaedic Surgery | 202a Government St, Mobile, AL 36602-2614 | 2018-02-05 |
| 1497254403 | Joint Replacement Cin of Mobile LLC | Orthopaedic Surgery | 202b Government St, Mobile, AL 36602-2614 | 2018-02-05 |
| 1801310362 | Kivanc Atesok | Orthopaedic Surgery | Uab Division of Orthopaedic Surgery 510 20th, Birmingham, AL 35294-0001 | 2017-07-26 |
| 1467755405 | University Orthopaedic Clinic, PC | Orthopaedic Surgery | 241 Robert K Wilson Drive, Carrolton, AL 35447-0478 | 2010-12-14 |
| 1871713032 | Obrien Orthopedic PC | Orthopaedic Surgery | 6490 Highway 72, Athens, AL 35645 | 2007-04-27 |
| 1356325138 | Southeastern Spine Specialists Inc | Orthopaedic Surgery | 1781 Commons North Loop, Tuscaloosa, AL 35406-3577 | 2005-12-05 |
| 1053807230 | Chong Weng | Orthopaedic Surgery | 510 20th St S, Birmingham, AL 35233-2028 | 2018-07-10 |
| 1437411675 | John Rodriguez-feo IIi | Orthopaedic Surgery | 927 Franklin St Se, Huntsville, AL 35801-4306 | 2012-06-13 |
| 1275825135 | Charles Marvin Gordon Jr. | Orthopaedic Surgery | 1505 Daphne Ave, Daphne, AL 36526 | 2011-05-11 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY |
| Zip Code | 36106 |
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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.