MICHAEL PRENTICE DAVIS (NPI# 1629061726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629061726 |
| Entity Type | Individual |
| Full Name | MICHAEL PRENTICE DAVIS |
| Credential | MD |
| Practice Address |
2005 Veterans Memorial Blvd Fl 6 Metairie LA 70002-6320 |
| Mailing Address |
1514 Jefferson Hwy Hospitalist Grove New Orleans LA 70121-2429 |
| Practice Telephone | 5048369820 |
| Practice Fax Number | 5048469608 |
| Mailing Telephone | (504) 349-1656 |
| Mailing Fax Number | 5043491933 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2017-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 025236 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1140368 | 05 | |
| MS | 03901261 | 05 |
| 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 |
2005 VETERANS MEMORIAL BLVD FL 6 |
| City | METAIRIE |
| State | LA |
| Zip Code | 70002-6320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541737 | Solstice Technologies, Inc. | Clinical Medical Laboratory | 3501 Severn Ave Suite 24, Metairie, LA 70002 | 2020-05-29 |
| 1891335071 | Kristin Alongi | Nurse Practitioner | 3838 N Causeway Blvd. Ste 2200, Metairie, LA 70002 | 2020-01-15 |
| 1841850450 | Emily Suarez Tan | Dentist | 3301 Veterans Blvd., Suite 203, Metairie, LA 70002 | 2019-06-17 |
| 1902369317 | Unitedhealthcare of Louisiana, Inc. | Health Maintenance Organization | 3838 N. Causeway Blvd., Suite 2600, Metairie, LA 70002 | 2019-04-11 |
| 1013479195 | Jeffrey Scott Toler | Dentist | 2937 Veterans Memorial Blvd, Ste C, Metairie, LA 70002 | 2019-04-05 |
| 1982188470 | Kelly Brooke Anderson | Clinic/Center | 2215 Veterans Blvd, Metairie, LA 70002 | 2018-09-20 |
| 1831695253 | A&g Pediatrics LLC | Community Based Residential Treatment Facility, Mental Illness | 3001 Division St., Suite 206, Metairie, LA 70002 | 2018-04-04 |
| 1730691064 | Desire Care, LLC | Technician | 2800 Hessmer Ave, Suite B, Metairie, LA 70002 | 2017-10-26 |
| 1104338458 | Monet Wiltz | Case Manager/Care Coordinator | 2637 Edenborn Ave Ste 302, Metairie, LA 70002 | 2017-10-26 |
| 1316461395 | Crystal Mc Bride | Counselor | 3100 Ridgelake Dr. Suite 309, Metairie, LA 70002 | 2017-08-01 |
| Find all providers in zip 70002 | ||||
| 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 |
|---|---|---|---|---|
| 1457845935 | Enore Blunt | Family Medicine | 545 Oaklawn Dr, Metairie, LA 70005-2808 | 2018-06-19 |
| 1356830251 | Metairie Total Wellness Clinic, LLC | Family Medicine | 1813 Veterans Memorial Blvd Ste B, Metairie, LA 70005-2637 | 2018-05-07 |
| 1871002451 | Bonsai Medical LLC | Family Medicine | 3900 N Causeway Blvd Ste 1470, Metairie, LA 70002-7253 | 2017-09-26 |
| 1932634813 | David Benjamin Newsome | Family Medicine | 701 Metairie Rd Ste 2a208, Metairie, LA 70005-4061 | 2017-04-27 |
| 1649684424 | Brittany Landry | Family Medicine | 4228 Houma Blvd Ste 230, Metairie, LA 70006-3020 | 2014-06-19 |
| 1942591458 | Joseph Andrew Mather | Family Medicine | 3601 Houma Blvd Ste 300, Metairie, LA 70006-4310 | 2011-05-02 |
| 1275823916 | Tai Anh Nguyen | Family Medicine | 3848 Veterans Memorial Blvd, Suite 101, Metairie, LA 70002-5671 | 2011-04-14 |
| 1831493550 | La Medical Group Inc | Family Medicine | 4428 Conlin St, Metairie, LA 70006-2124 | 2011-01-10 |
| 1467781476 | Fleur De Lis Family Care | Family Medicine | 301 Helios Ave, Metairie, LA 70005-3756 | 2009-12-22 |
| 1104054972 | Harry Hall Winters IIi | Family Medicine | 310 Rue St. Peter, Metairie, LA 70005 | 2009-06-30 |
| Find all providers in METAIRIE | ||||
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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.