DR. PHILIP A DAVENPORT


Address: 3480 Wake Forest Rd, Suite 502, Raleigh, NC 27609-7376
Phone: 9196848111

DR. PHILIP A DAVENPORT (NPI# 1659342806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659342806
Entity Type Individual
Full Name DR. PHILIP A DAVENPORT
Credential M.D.
Practice Address 3480 Wake Forest Rd
Suite 502
Raleigh
NC 27609-7376
Mailing Address 5213 S Alston Ave
Durham
NC 27713-4430
Practice Telephone 9196848111
Mailing Telephone 9196848111
Enumeration Date 2006-01-27
Last Update Date 2012-05-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
2009-02034 NC Allopathic & Osteopathic Physicians
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
0101052402 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA 6104487 05

Office Location

Street Address 3480 WAKE FOREST RD
SUITE 502
City RALEIGH
State NC
Zip Code 27609-7376

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275084782 Megan Ashley Keesee Dietitian, Registered 3480 Wake Forest Rd, Medical Office Building 8 Suite 520, Raleigh, NC 27609-7376 2016-10-19
1417407545 Private Diagnostic Clinic, Pllc Orthopaedic Surgery 3480 Wake Forest Rd, Suite 204, Raleigh, NC 27609-7376 2016-10-13
1235686098 Mackenzie Patterson Physician Assistant 3480 Wake Forest Rd, Suite 204, Raleigh, NC 27609-7376 2016-09-08
1184031825 Kensi Cobb Saia Audiologist 3480 Wake Forest Rd, Raleigh, NC 27609 2014-07-15
1255764403 Melissa Cathleen Ginesi Audiologist 3480 Wake Forest Rd, Suite 404, Raleigh, NC 27609-7376 2013-08-12
1134465586 Jessica Renee Jones Physician Assistant 3480 Wake Forest Rd, Suite 414, Raleigh, NC 27609-7376 2012-12-12
1437410826 Holli Leigh Rehm Audiologist 3480 Wake Forest Rd, Suite 404, Raleigh, NC 27609-7376 2012-06-03
1902176993 Ashley Rosann Haskin Physician Assistant 3480 Wake Forest Rd, Suite 414, Raleigh, NC 27609-7376 2012-01-06
1497034177 Emily Louise Scheuring Speech-Language Pathologist 3480 Wake Forest Rd, Suite 404, Raleigh, NC 27609-7376 2011-08-11
1821389099 Private Diagnostic Clinic, Pllc Pain Medicine 3480 Wake Forest Rd, Suite 208, Raleigh, NC 27609-7376 2011-04-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184235582 Choice Service Solutions LLC In Home Supportive Care 5300 Six Fox Rd Siite205, Raleigh, NC 27609 2020-08-11
1003426073 Rosana Oba -rovira Registered Nurse 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 2020-08-05
1821612706 Helen Alexandra Bonner Physical Medicine & Rehabilitation Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 2020-06-05
1215423579 Appiah Nana Larbi Social Worker Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 2018-07-10
1215423777 Broadway Home Care LLC In Home Supportive Care 107 Windel Dr Ste 105, Raleigh, NC 27609 2018-07-09
1275027948 Lacey Allene Cottingham Social Worker 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 2018-06-18
1447748819 Integrated Dermatology of North Raleigh, Pllc Dermatology 3809 Computer Dr Ste 200, Raleigh, NC 27609 2018-05-01
1902325418 Naomi Christine Askew Nurse Practitioner 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 2017-09-15
1962929679 Alexia Montague Social Worker 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 2017-08-23
1730602236 Chantel Washington-mbuthia Counselor 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 2017-07-18
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356538698 Susan Pate Psychiatry & Neurology 605 Marlowe Rd, Raleigh, NC 27609-7021 2007-10-01
1801842794 David A Konanc Psychiatry & Neurology Raleigh Neurology Associates, Pa, 1540 Sunday Dr., Raleigh, NC 27607-5163 2006-05-25
1659767911 Wayneho Kam Psychiatry & Neurology 3400 Wake Forest Rd, Raleigh, NC 27609-7317 2015-04-13
1245650068 Neeja Vivek Desai Psychiatry & Neurology 1540 Sunday Dr, Raleigh, NC 27607 2014-04-19
1619395092 Casey Victoria Farin Psychiatry & Neurology 1540 Sunday Dr, Raleigh, NC 27607 2014-04-02
1205272663 Raleigh Neurology Associates, Pa Psychiatry & Neurology 3701 Wake Forest Rd, Raleigh, NC 27609-6832 2013-05-13
1992048680 Raleigh Neurology Associates, P.a. Psychiatry & Neurology 1520 Sunday Dr, Raleigh, NC 27607-5253 2013-04-01
1265728489 Chandni Pankaj Kalaria Psychiatry & Neurology 1540 Sunday Dr, Raleigh, NC 27607 2011-06-27
1205125101 Mariam Wasim Psychiatry & Neurology 3480 Wake Forest Rd Ste 310, Raleigh, NC 27609 2011-03-31
1851694889 Mahmoud Al Masry Psychiatry & Neurology 4420 Lake Boone Trl, Raleigh, NC 27607 2010-12-14
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City RALEIGH
Zip Code 27609

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Dataset Information

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.

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